By vgreene, 30 November, 2015 In 2nd half of pregnancy, can cause early labor/fetal distress, rarely stillbirth, but should not delay tx; f/u closely w/ OB
By vgreene, 30 November, 2015 If dx in 2nd half of pregnancy, eval for congenital syphilis w/ fetal sonogram6
By vgreene, 30 November, 2015 Alternative (if compliance ensured): Procaine penicillin G2 2.4 MU IM qd + probenecid 500 mg PO qid both x10-14 days
By vgreene, 30 November, 2015 Recommended: Aqueous crystalline penicillin G1 18-24 MU/day IV div q4h (or via continuous infusion) x10-14 days