Managing the great mimic

GPs have a vital role to play in addressing rising syphilis rates and combating congenital cases.
Dr Sarah Borg Dr Ranjit Samra Dr Marcus Chen
Treponema pallidum

Need to know:

Infectious syphilis notification rates in Australia have been steadily increasing since 2011, with the majority of cases affecting gay, bisexual and other men who have sex with men.1-4 That said, there has been a recent re-emergence of infections among heterosexual populations.5

Rates of infectious syphilis in women of reproductive age increased by 233% between 2015 and 2020.6 Consequently, rates of congenital syphilis cases in Australia are increasing.6-8 For the first time in decades, congenital syphilis cases have been seen in urban centres around Australia.9 

Another consequence of rising syphilis rates is an increase in the number of neurosyphilis-related hospital admissions in Australia.10