Syphilis prevalence varies by region. It remains prevalent in many developing countries. New cases of primary and secondary syphilis are more in the age group of 25 – 29 years.[1] The etiological agent Treponema pallidum cannot be cultivated in vitro. The organism is so nar-row; the volume of protoplasm so small that it is extremely difficult to see by direct illumina-tion and ordinary staining methods. Silver im-pregnation technique and immune fluorescent staining techniques have proved of value.[2] In clinical work, dark ground illumination is the usual method employed. Serological testing is considered the standard methods for diagnosis for all stages of syphilis.[3] Diagnosis of syphilis is made with certainty by finding Treponema pallidum from mucocutaneous lesions and lymph node aspirate.