Category Archives: Men’s Health-Erectile Dysfunction

SYPHILIS – ANTIBIOTIC TREATMENT 2

Cardiovascular syphilis and neurosyphilis Prednisolone 20 mg twice daily for two days prior to commencement of penicillin is recommended for patients with cardiovascular or neurosyphilis. Aqueous procaine penicillin G 1.5 g daily intramuscularly with probenecid 500 mg four times daily … Continue reading

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SYPHILIS – ANTIBIOTIC TREATMENT

Parenteral penicillin is the drug of choice. Alternative antibiotics should only be used where there is a history of penicillin sensitivity. Early syphilis Aqueous procaine penicillin G 1.5 g daily intramuscularly for a minimum of 10 days; Benzathine penicillin G … Continue reading

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SYPHILIS – MANAGEMENT

In a patient with a local genital lesion thought to be syphilitic, treatment of syphilis should be withheld until dark ground examination is completed. Treatment for coexistent gonorrhoea or NGU should not be delayed but a non-treponemicidal drug such as … Continue reading

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SYPHILIS – FALSE POSITIVE REAGIN TESTS MAY BE TRANSIENT OR PERSISTENT; CEREBROSPINAL FLUID (CSF) EXAMINATION

The causes of biological false positive reagin (non-treponemal) tests are: Acute (persisting less than 6 months): acute viral febrile illness (e.g. infectious mononucleosis, viral pneumonia, hepatitis); and pregnancy. Chronic (persisting six months or more): intravenous drug abuse; autoimmune disease — … Continue reading

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SYPHILIS – SYPHILIS AND HIV INFECTION 2

Dark ground examination Spirochaetes can be demonstrated by microscopic examination of smears from early lesions using dark ground or fluorescent antibody techniques. Antibiotics or antiseptics should not be used until satisfactory examination has been completed. Dark ground examination is not … Continue reading

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CLINICAL STAGES; SYPHILIS AND HIV INFECTION; DIAGNOSIS AND INVESTIGATION

The diagnosis of syphilis depends on a detailed history, careful clinical examination and specific investigations. Underlying these is the need to THINK of the possibility of syphilis. It is also important to investigate patients with syphilis for concurrent STDs. Syphilis … Continue reading

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