MODERN VIEWS ON THE PROBLEM OF SYPHILIS IN THE PRACTICE OF FORENSIC MEDICAL EXPERT

The scientific article is devoted to the analysis of modern data on the clinical manifestations and diagnosis of syphilis. The author paid attention to today's scientific data on the epidemiological features of syphilis and its transmission. As a result of the high contagiousness of this infection (45% upon contact with a patient of any form of the disease), the prevalence and the ancient history of the occurrence of this sexually transmitted disease, the pathogen (pale treponema) adapted to changing environmental conditions in the form of cysts and L-forms. Attention has been paid to the clinical classification of syphilis. The author draws attention to the fact that today, according to WHO recommendations, the term “congenital syphilis” is changed to «transmission of syphilis from mother to child» in order to deepen understanding of the whole spectrum of its adverse effects: stillbirth, cases of neonatal death, childbirth before the physiological term of low birth weight body, birth injury). The article also indicates that in cases where chancre was not detected in the first stage of syphilis, the clinical manifestations of the disease can often be perceived as symptoms of another disease: influenza with complications, allergic problems, parasitic diseases or diseases from the group of «childhood infections» and such manifestations do not even give the opportunity to suspect syphilis. The features of the third stage of syphilis development are also examined in detail, when irreversible morphological and physiological changes in various organs and systems begin to occur in the body. The article notes the main methods of modern diagnosis of syphilis (trepnemic and treponemal serological studies). Attention is also paid to the modern treatment regimen for various forms of Іntеrnаtіоnаl Scіеntіfіc Jоurnаl “Іntеrnаukа” http://www.іntеr-nаukа.cоm/ Іntеrnаtіоnаl Scіеntіfіc Jоurnаl “Іntеrnаukа” http://www.іntеr-nаukа.cоm/ syphilis, taking into account the treponemocidal concentration in the blood of antibiotics of various groups of different generations. It is noted that a forensic examination in case of suspected syphilis occurs with the involvement of a dermatovenerologist and a forensic expert, that is, a commission examination. Therefore, theoretical knowledge about the features of syphilis at the present stage is very relevant in the practical activities of a forensic expert.