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Archive for November 15th, 2019

Syphilis: Tell your kids not to have sex while in NZ

Posted by te2ataria on November 15, 2019

Sent by Dr E.  [edited for brevity]

Syphilis Transmitted even through Kissing – NCBI

  • Syphilis [and gonorrhoea] rates are “significantly” increasing in NZ.
  • 575 syphilis cases were reported in New Zealand during the 12 months ending in 2019 Q2 (inclusive), ESR said.
  • The number of reported cases have increased by more than seven folds (700%) since 2013, when 82 cases were reported.
  • A recent increase in the number of congenital syphilis cases, with the infection spreading from mother to baby during pregnancy, have been reported. Syphilis infection during pregnancy carries a significant risk of abnormalities, miscarriage or stillbirth.
  • The majority of cases were of European/Other ethnicity, followed by Māori, and case numbers have increased in both these ethnic groups since 2014.
  • Researchers have reported oral syphilis (OS) transmission:

Syphilis is a sexually transmitted disease caused by infection of T pallidum. Sex contact is the most common way of transmission. However, studies have showed that nonsexual transmission, such as mouth-to-mouth transfer of prechewed food, can also result in syphilis infection. In addition, nipple syphilitic chancres have been reported after biting by others during sexual intercourse.3,4 We report a rare case of acquired primary oral syphilis (OS) chancre after kissing with her partner, who was infected with syphilis earlier. As far as we know, this is the first report on infection of primary OS after kissing another syphilis person. [NCBI]

“We report a 27-year-old woman with painless, ulcerative, and indurated lesion on her lower lip and a 7-day history of symmetrically distributed nonpruritic macules. OS was diagnosed based on clinical presentations and serologic test … However, both the patient and her husband denied any orogenital sexual history before. In addition, her husband was also diagnosed as syphilis later in our clinic. He reported having orogenital contact with other people. Therefore, this is a rare case of OS transmitted through kissing. NCBI – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4998817/

Link to ESR:

These reports summarise the epidemiology of sexually transmitted infections (STIs) for the year, and examines recent trends in the STIs of public health importance, including chlamydia, gonorrhoea, genital herpes, genital warts, syphilis, non-specific urethritis, chancroid, granuloma inguinale, and lymphogranuloma venereum.

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