coinfection with syphilis

[brownbachelor]

I made unprotected anal sex with a partner of unknown stauts. About two weeks later, i develop two clean circular red ulcers inside foreskin near penis shaft with unilateral inguinal lymph node pain on touch.I went to doctor and he told me that the two ulcers are chancres and was treated with a single shot of Azithromycin 2 g.
I know I have a high risk of HIV too and i will make a blood test in about 8 weeks and 12 weeks. But i was about shock when i read the news online that
the syiphilis chancre is often single and may be multiple. If multiple, it is more common in HIV coinfection.My chancres are two in number and location is side by side. Does this mean multiple? Can co-infection of HIV be surely proved by watching two chancres that occur simultaneously?  
Or my another idea is that I might develop a chancre and when its clear solution come in contact with nearby penis area, it then develop next one beside very near to it.Like this.
Please advise me.
Kindly and hopefully

[brownbachelor]

Yes.i need time.it is too early to test now.now is only 2 weeks per exposure.
Can u tell that HIV coinfection can be confirmed by two chancres present?

[shaunw84]

"But a lot of people who get Syphilis don't get HIV" is what I said to answer your first question.    

Usually it is one point where the chancres occurs.  I don't know the answer to your question, but I don't see why it couldn't.   It's multiple organisms and if your skin touched her in one place,  its certainly possible that it could touch her in another.   The infection could enter at both locations.  

But I'm not an expert in Syphilis.  I'm just saying I don't see a logical reason why it couldn't.

Anyway, get tested.   My suggestion is don't wait.  

Be well

[brownbachelor]

Oh....Am I sure to be infected?
Can syphilis without HIV show two chancres?

[shaunw84]

Syphilis and HIV are seen together.   But a lot of people get Syphils and not get HIV.  It's just that Syphilis increase the chances of getting HIV and so if someone get's it,  it's more likely that the person they were with had HIV.   So the extra concern.

Unless you feel strongly about waiting, it would be good to get tested early.  You can tested at 4 weeks with a 4th gen test.  Many people say a 4th gen is conclusive, unless a doctor's other test indicate differently.
4th gens are also called duo tests or ag-ab tests.

Even a 3rd gen test will detect 95% of people who get it at 4 weeks.

Have heart and hope.   But if you find out sooner, you're better off.  

Research in France found that 17 people who got treated very early were able to get off treatment a few years later.   They are not on drugs, but they remain undetectable and they are progressing like "slow progressors."

Slow progressors have a mutation in their gene that keeps the virus in check.  But these people had no such mutation.  

Be well

[Vance2335]

HIV would be a risk, 28 day DUO test or 8 week antibody test.