How do you approach the diagnosis and treatment of recurrent neurosyphilis in a previously treated patient?
Are VDRL titers useful?
Answer from: at Academic Institution
This question is answered by CDC guidelines:
https://www.cdc.gov/std/treatment-guidelines/neurosyphilis.htm
A patient with neurosyphilis needs to get serial non-treponemal (VDRL/RPR) tests from serum after completion of the 14-day IV penicillin course (3,6,9,12 and 24 months). A 4-fold reduction o...