Internal Medicine

Sexually Transmitted Diseases

Questions discussed in this category

Do you routinely treat patients with neurosyphilis with IM penicillin for 1-3 weeks after completing a full treatment course of IV penicillin?

https://www.cdc.gov/std/treatment-guidelines/neurosyphilis.htm

1 Answer available

What are your top takeaways from ID Week 2024?

1 Answer available

Do you routinely recommend a lumbar puncture for patients with suspected ocular or otic syphilis in the absence of additional CNS symptoms?

3 Answers available

How have you adjusted your practice for treatment of syphilis in light of the penicillin G benzathine shortage?

3 Answers available

Do you consider late latent syphilis adequately treated if a patient receives a 10-14 day course of IV ceftriaxone for another indication?

Or would you still offer penicillin G benzathine once weekly concurrently?

1 Answer available

Would you give treatment to a male patient with subjective dysuria but no objective pyuria with Ureaplasma urealyticum detected by PCR from urine?

1 Answer available

Does a low serofast RPR titer (such as 1:1 or 1:2) in the setting of a remote history of appropriately treated latent syphilis in a patient with now uveitis of yet unknown etiology referred from ophthalmology for possible ocular syphilis make a diagnosis of ocular syphilis less likely?

What is your approach to guiding ophthalmologists regarding our clinical suspicion for ocular syphilis and does the quantification of the titer help i...

1 Answer available

Do you repeat a lumbar puncture in a patient living with HIV diagnosed with and treated for neurosyphilis and if so, when?

1 Answer available

Can non-16/18 HPV types cause ASCUS and squamous cervical metaplasia on biopsy within 3 months of acquisition, or would it take longer?

1 Answer available

What is the preferred treatment regimen for cardiovascular syphilis, specifically syphilitic ostial coronary artery disease?

1 Answer available

Given recent data for use of doxycycline as post-exposure STD prophylaxis, how have you applied its use in clinical practice?

4 Answers available

What is the recommended treatment regimen for Mycoplasma genitalium in a pregnant woman?

1 Answer available

Are there any non-beta-lactam antibiotic options for treatment of neurosyphilis in non-pregnant adults?

1 Answer available

After a course of treatment for neurosyphilis, do you administer an additional IM dose of penicillin G one week after finishing the course of IV penicillin therapy?

1 Answer available

Papers discussed in this category

MMWR. Recommendations and reports : Morbidity and mortality weekly report. Recommendations and reports, 2021 Jul 23

Sexually Transmitted Infections Treatment Guidelines, 2021.

The New England journal of medicine, 2023 Apr 06

Postexposure Doxycycline to Prevent Bacterial Sexually Transmitted Infections.

The Journal of antimicrobial chemotherapy, 2021 Jun 18

Clinical and serological outcomes in patients treated with oral doxycycline for early neurosyphilis.

Sexually transmitted diseases, 1993 Nov-Dec

Asymptomatic neurosyphilis after doxycycline therapy for early latent syphilis.

Journal of ophthalmic inflammation and infection, 2015-12

Clinical and laboratory characteristics of ocular syphilis: a new face in the era of HIV co-infection.

JAMA ophthalmology, 2024 Jan 01

Rising Incidence of Syphilitic Uveitis-Related Hospitalizations in the US.

Investigative ophthalmology & visual science, 2016 Feb

Clinical Manifestations and Outcome of Syphilitic Uveitis.

The American journal of medicine, 1992-11

Response of latent syphilis or neurosyphilis to ceftriaxone therapy in persons infected with human immunodeficiency virus.

Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2017 Oct 30

A Multicenter Study Evaluating Ceftriaxone and Benzathine Penicillin G as Treatment Agents for Early Syphilis in Jiangsu, China.

Open forum infectious diseases, 2024 Mar 13

Syphilis Treatment: Systematic Review and Meta-Analysis Investigating Nonpenicillin Therapeutic Strategies.

Internal Medicine

Sexually Transmitted Diseases

Questions discussed in this category

Papers discussed in this category

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