TB and syphilis are still contagious at the same time, and there is no conflict between the contagiousness of the two and their treatment. The main routes of transmission of TB are respiratory, gastrointestinal or invasive skin surface transmission. When a susceptible person’s respiratory tract or skin surface wound comes into contact with droplets or secretions containing the TB pathogen, the infection will spread directly. And the infection route of syphilis is mainly based on sexual contact transmission, also through the contact of body fluids to complete the spread of transmission. The tuberculosis virus and syphilis virus are not in conflict with each other. Therefore, when infected with tuberculosis and syphilis at the same time, both viruses are infectious, so the patient himself will cause a larger spread of infection, it is recommended that after the discovery of the infection as soon as possible to seek medical treatment, under the guidance of the doctor to carry out anti-tuberculosis, anti-virus treatment. At the same time in the process of treatment also need to do a good job of personal protection measures. For people infected with tuberculosis and syphilis viruses, it is recommended to go to the hospital in time for treatment, and choose the appropriate treatment program under the guidance of the doctor.