Tag Archives: ocular syphilis

STD Awareness: When Syphilis Goes North

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The bacteria that cause syphilis are shaped like corkscrews. Image: David Cox, CDC

Last month, a “weird” medical case made headlines. An Australian man with unexplained headaches and eye pain got a diagnosis for his mysterious symptoms when his doctors discovered he had syphilis — and the infection had spread to his head. Syphilis had caused both optic nerves to become swollen, triggering pain that worsened whenever he moved his eyes.

It might seem strange that a disease most people associate with below-the-belt symptoms can wreak havoc above the neck, but syphilis is a wanderer that can travel all over the body, sowing chaos wherever it goes.

Syphilis can quickly enter the nervous system and travel to the head, where it can cause blindness, psychiatric problems, and other trouble.

Ocular Syphilis

The bacteria that cause syphilis can be passed from one person to another through contact with a sore, which can appear on or around the mouth, genitals, or anus. Any type of sexual contact, including oral sex, can transmit these bacteria. Sores are painless, contain a highly infectious liquid, and can appear between three weeks to three months after infection. These sores aren’t always visible, which means you can’t tell if someone has syphilis just by looking at them.

Although the bacteria typically land in the mouth, genitals, or anus, they can also be sexually transmitted directly into the eye, causing redness and vision problems. After infection, syphilis sores can appear on the eyelids, tear ducts, and soft tissues around the eyes. Bacteria can also travel to the eye by entering the nervous system and blazing a trail to the optic nerve — no direct contact between the eye and a sore necessary. Continue reading →

STD Awareness: Is There a Vaccine for Syphilis?

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Before antibiotics, syphilis was the most feared sexually transmitted disease (STD) out there. It was easy to get, quack cures were ineffective and often unpleasant, and it could lead to blindness, disfigurement, dementia, and even death. Syphilis rates were highest during World War II, and plummeted when penicillin became widely available later in the 1940s. By 2000, syphilis rates hit an all-time low, and many scientists thought the United States was at the dawn of the complete elimination of syphilis.

What a difference an antibiotic makes. Image: CDC

Unfortunately, it soon became apparent that syphilis wasn’t ready to go out without a fight. Since 2000, syphilis rates have nearly quadrupled, climbing from 2.1 to 7.5 per 100,000 people by 2015 — the highest they have been since 1994. If you look at the above graph, you might think syphilis rates have been pretty stable over the past 20 years — but if you zoom in, the fact that we’re in the midst of an epidemic becomes more clear.

After hitting an all-time low in 2000, syphilis rates have been increasing nearly every year since.

The epidemic is disproportionately affecting men who have sex with men (MSM), with Arizona seeing a higher-than-average syphilis rate in this group. Additionally, syphilis rates are climbing among women, who have seen a 27 percent bump between 2014 and 2015. And, since women can carry both syphilis and pregnancies, a rise in syphilis in this population also means a rise congenital syphilis (the transmission of syphilis from mother to fetus), which causes miscarriages, stillbirths, preterm births, neonatal death, and birth defects. Ocular syphilis — that is, syphilis infections that spread to the eyes and can lead to blindness — is also on the rise.

Men, women, babies — no one is immune to the grasp of syphilis. Continue reading →

STD Awareness: Can You Get an STD in Your Eye?

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eyeSexually transmitted diseases (STDs) usually haunt the nether regions, whether germs have set up shop in the urethra, clustered around the cervix, or burrowed inside a cell. There, they might cause symptoms, like a burning sensation when urinating, unusual discharge, or warts or sores in the genital area.

Sometimes, however, STDs can infect other parts of your body, usually places that boast environments that are warm and moist, just like your genitals. For example, the virus that causes genital warts can also infect the throat to cause growths inside the airway. Oral sex can transfer the bacteria that cause gonorrhea from a urethra to a throat. And herpes can spring up around the mouth or in the genital region, and can be transferred between the two locations.

Instead of wearing goggles during sex, get tested for STDs at Planned Parenthood!

But did you know that certain sexually transmitted organisms can find their way into human eyes? If you didn’t, you do now, so read on to learn about some of the types of STDs that can affect your eyes.

Chlamydia and Gonorrhea

The most common bacterial STD in the country is chlamydia, which strikes nearly 3 million American groins annually. In second place is gonorrhea, which infects around 800,000 Americans every year. Bacteria that infect the genital region have an affinity for its warm, moist atmosphere. And while eyes might not be their first choice, the ocular environment can be pretty inviting as well. When chlamydia or gonorrhea infect the eye, the resulting conditions are called chlamydial conjunctivitis and gonococcal conjunctivitis, respectively. Continue reading →