Syphilis—Endocarditis

Endocarditis, also called infective endocarditis (IE), is an inflammation of the inner lining of the heart. The most common type, bacterial endocarditis, occurs when germs enter your heart. These germs come through your bloodstream from another part of your body, often your mouth. Bacterial endocarditis can damage your heart valves. If untreated, it can be life-threatening. It is rare in healthy hearts.

Risk factors include having

• An abnormal or damaged heart valve
• An artificial heart valve
• Congenital heart defects

The signs and symptoms of IE can vary from person to person. They also can vary over time in the same person. Symptoms you might notice include fever, shortness of breath, fluid buildup in your arms or legs, tiny red spots on your skin, and weight loss. Your doctor will diagnose IE based on your risk factors, medical history, signs and symptoms, and lab and heart tests.

Early treatment can help you avoid complications. Treatment usually involves high-dose antibiotics. If your heart valve is damaged, you may need surgery.

If you’re at risk for IE, brush and floss your teeth regularly, and have regular dental checkups. Germs from a gum infection can enter your bloodstream. If you are at high risk, your doctor might prescribe antibiotics before dental work and certain types of surgery.

NIH: National Heart, Lung, and Blood Institute

• Culture-negative endocarditis (Medical Encyclopedia)
• Endocarditis (Medical Encyclopedia)
• Endocarditis – children (Medical Encyclopedia)

Syphilis is a sexually transmitted disease caused by bacteria. It infects the genital area, lips, mouth, or anus of both men and women. You usually get syphilis from sexual contact with someone who has it. It can also pass from mother to baby during pregnancy.

The early stage of syphilis usually causes a single, small, painless sore. Sometimes it causes swelling in nearby lymph nodes. If you do not treat it, syphilis usually causes a non-itchy skin rash, often on your hands and feet. Many people do not notice symptoms for years. Symptoms can go away and come back.

The sores caused by syphilis make it easier to get or give someone HIV during sex. If you are pregnant, syphilis can cause birth defects, or you could lose your baby. In rare cases, syphilis causes serious health problems and even death.

Syphilis is easy to cure with antibiotics if you catch it early. Correct usage of latex condoms greatly reduces, but does not completely eliminate, the risk of catching or spreading syphilis.

NIH: National Institute of Allergy and Infectious Diseases

• Condom Fact Sheet in Brief (Centers for Disease Control and Prevention) – PDF
• Congenital syphilis (Medical Encyclopedia)
• CSF-VDRL test (Medical Encyclopedia)
• FTA-ABS test (Medical Encyclopedia)
• Neurosyphilis (Medical Encyclopedia)
• RPR test (Medical Encyclopedia)
• Syphilis (Centers for Disease Control and Prevention) – PDF
• Syphilis – primary (Medical Encyclopedia)
• Syphilis and MSM (Men Who Have Sex with Men) (Centers for Disease Control and Prevention) – PDF
• VDRL test (Medical Encyclopedia)