By vgreene, 16 November, 2015 If s sx persist recur post tx or nontreponemal titers uarr 4 fold and persist for 2wk 5
By vgreene, 16 November, 2015 If dx in 2nd half of pregnancy, eval for congenital syphilis w/ fetal sonogram4
By vgreene, 16 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, 16 November, 2015 If neuro3 or ocular s/sx present, perform CSF eval, slit-lamp, and otologic exam
By vgreene, 16 November, 2015 If f/u uncertain, retreat w/ benzathine penicillin G 2.4 MU IM qwk x3, or treat for neurosyphilis if indicated by CSF exam