An alternative method for Laboratory diagnosis and treatment of syphilis

• Author Details:   
• Ravish Kumar M

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A 40 year old male patient presented with ulcer over genetalia since one week. On examination there was an ulcer over penis which was painless, indurated circumscribed associated with inguinal lymphadenopathy. A wet mount was prepared and examined under Light Microscopy with innovative modification showed spiral shaped bacteria against black background. Under resource poor setting where Dark ground Microscope can’t be used, light Microscope may be converted to Dark scope using Over Head Projector Sheets which will be helpful in diagnosis of Syphilis. Treatment with Doxycycline is effective in patients who are not responding to Injection Penicillin, which is being demonstrated by four fold reduction in Rapid Plasma Reagin titer.