Organisms have spread via the bloodstream and produce a skin rash, lesions on mucous membranes of mouth, throat and cervix. Lesions contain spirochetes. Healthcare workers can acquire syphilis nonsexually at this point. But the rash too disappears and the disease becomes latent. After 2-4 years, the disease is not normally infectious, except from mother to fetus c.
Tertiary syphilis occurs in about half the untreated cases.
Inflammatory responses and CMI produce gummas, rubbery masses of cells in various parts of the body. If this screening test is positive, further,more specific testing must be done. May be sexually transmitted but often is not and Gardnerella is often a common inhabitant of the vagina. Genital Herpes, ususally causedby Herpes simplex type 2. DNA virus becomes latent and consequently recurrent b.