Hello dear Understand your concern. Syphilis is now not common. It is sexually transmitted disease due to trepenoma pallidium But it is treated by antibiotics and require close follow up for clearance. Following are the treatment: Treatment depend on the stage of disease. Best treatment is penicilin but in penicillin allergy You can use Tetracycline Or you can use azithromycin/doxycycline Repeat the test and clinical examination by doctor at the end of treatment. If symptoms does not resolves Again go for trepenoma titre testing, clinical examination and neurological examination and for csf examination for exclusion of secondary and tertiary syphilis. Clinical examination and syphilis testing required every six month to prevent future complication. Use safer sex practice. Avoid sex till you cleared from infections. Use condoms during sex. Hope this may help you. Best regards Dr. Sagar