Background Syphilis, which had been uncommon in Australian cities until
recently, has re-emerged as a major sexually transmissible
infection among men who have sex with men.
Objective In this article we review the clinical features and management
of syphilis infection, together with measures clinicians can
undertake to enhance syphilis control.
Discussion Syphilis should be considered in men who have sex with men
who present with a rash or anogenital lesions. Men who have
sex with men should be serologically screened for syphilis
on a regular basis, including those who are HIV infected.
Management of syphilis infected individuals should include
adequate treatment and efforts to maximise the testing and
treatment of sexual partners. Early detection and treatment
of syphilis will help control the current syphilis epidemic in
Australia among men who have sex with men.
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