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STDs  (Expert Forum)
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from kissing?
Answered by
University of Washington Seattle - WA
This forum does not cover AIDS/HIV issues. This forum is for questions and support regarding STD issues such as: Chlamydia, Crabs (pubic lice scabies), Gonorrhea, Hepatitis (viral), Herpes, HPV, Molluscum Contagiosum, PID, Rectal Infections, Syphilis, Trichomonas, Warts, Yeast Infection.

IMPORTANT

This forum is limited to questions about STDs other than HIV/AIDS. For questions about HIV prevention, or if you have general questions about safe sex (e.g., condoms, how to protect yourself from HIV and STDs), please visit the HIV Prevention and Safe Sex Forum

Some of the most common types of questions concern the risk of HIV or STD after a particular sexual exposure, and about symptoms that might or might not be due to HIV. If your question is along these lines, please visit the HIV Prevention and Safe Sex Forum.

from kissing?

by no_name2, Oct 11, 2005 12:00AM
Dear Dr.

I kissed a gay man in a club (about 5 minutes, on and off.) the next day I developed a little blister on my lower lip (it hurted as well), and I also had a fever. I was so freaked out. I know that it could be herpes, but my concern is that if it would be a syphilis sore, or both? I got tested for syphilis about 28 days later, the result came back negative. But you have said that a month would not mean much. So here are my questions:

1) What are my chances of catching syphilis? and  

2) What is the possibility of catching the virus soly through french kissing?

3) Did my negative test at a month tell anything?

Thank you

by H. Hunter Handsfield, M.D., Oct 11, 2005 12:00AM
It sounds like you might have had oral herpes, and if the fever was due to the same thing, it might have been your initial infection with HSV-1.  However, you didn't catch herpes from the exposure you describe; herpes lesions cannot appear in less than 24 hours after exposure.  Kissing can transmit syphilis, although the risk is much lower than with genital exposure.  Syphilis symptoms take at least 2-3 weeks to show up.  It also is true that the standard syphilis blood tests typically take up to 6 weeks to become positive--so your negative result at 4 weeks is somewhat reassuring but not definitive.  If you know the man and/or can locate him, give him a call and ask whether he might have oral herpes or syphilis.



So to answer your questions:



1) The chance of catching syphilis from that exposure is low, but perhaps not zero, if your kisser happened to be infected.



2) French kissing is a good way to transmit or catch HSV-1, but your symptoms came on too soon.



3) The negative syphilis test indicates you probably didn't acquire syphilis during the kissing episode, but to be 100% sure you would need to be retested again at 6-8 weeks.



Best wishes--  HHH, MD
Member Comments (3)

by no_name2, Oct 11, 2005 12:00AM
To: Dr. HHH
Can Syphilis be completely cured? And how long the virus would stay in one's body without serious damage?

by H. Hunter Handsfield, M.D., Oct 11, 2005 12:00AM
To: no_name2
Syphilis is easily cured with penicillin, but without treatment it persists in the body for many years, often for life.  For more information, read the syphilis information in the link "STD Quick Facts and Articles" at the top of the STD forum.



HHH, MD
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