Overview
Latent syphilis is a stage where the infection is present but causes no visible symptoms. It may be early or late latent and is usually detected through blood tests.
Causes and transmission
- Latent syphilis follows earlier infection when symptoms resolve but infection remains.
- It may persist for years if untreated.
How it is assessed
- Positive treponemal and nontreponemal tests with no active lesions.
- History and prior treatment records help staging.
Management considerations
- Treatment depends on early versus late latent classification.
- Follow-up serology monitors response.
Prevention
- Treatment prevents progression and reduces transmission risk.
- Partner notification may still be relevant depending on timing.
Key points
- No visible symptoms
- Detected by serology
- Treatment still matters
- Follow-up depends on duration
When to seek care
- Positive syphilis blood test without symptoms
- History of untreated syphilis