[Question #5407] Chlamydia test

21 months ago
I am 40 y Male 
I had history of genital warts treated with cryo and aldara
Also had history of penis discharge more than 10 years back which I took for it antibiotic without any testing ? Gonorrhea 
The question I did last year std package I found my chlamydia igg positive 39.4 ru/ml
Is it new infection or does it mean old infection?
Edward W. Hook M.D.
Edward W. Hook M.D.
21 months ago
Welcome to our Forum.  I'll do my best to help.

Knowing what might have caused your penile discharge without test results is difficult however if you can tell me which antibiotics seemed to help, I'll be glad to comment further.

I'm sorry that he STD package you purchased included a blood test for chlamydia.  These tests are NOT recommended by ANY authoritative body because they have relatively high false positive rates and because they are not uncommonly falsely positive.  If anything, your test results are most consistent with a past chlamydial infection.  The appropriate test for chlamydial infection is a swab or urine test performed for direct detection of chlamydia.  If this test was done as part of your package, you can be confident that you do not have chlamydial infection at this time.  EWH
---
21 months ago
Thank you for your response
Regarding Ab was cipro
One more question my syphilis result was negative ( I never had any s& s of syphilis or diagnosed)
Because my son 18 months old was seen by junior dentist he is thinking my son has Hutchinson teeth which commonly seen with congenital syphilis although my test before one year was negative and my wife never been tested( no other partner). As we are in vacation for 3 weeks when we be back  i will consult dentist for further investigation 
Is it possible I was infected and cured spontaneously or with upper respiratory infections Ab
Thx
Edward W. Hook M.D.
Edward W. Hook M.D.
21 months ago
FYI, cipro is primarily active against gonorrhea and has limited activity against chlamydial infection.

Persons are occasionally treated for syphilis at the time they are treated for other infections such as respiratory tract infections however I suspect that there are other processes which can cause Hutchinson's teeth if that is even what your child has.  From what you tell me there is little likelihood that you have syphilis or that your son has congenital syphilis.  Blood tests on your son will conclusively rule out the possibility that he has syphilis. EWH . 
---