Thursday, April 07, 2005

Efficacy of oral antibiotics to treat secondary syphilis

The lesions of Secondary syphilis are usually red and scaly, typically found on the chest and the palms of the hands.As the lesions age they can become less scaly and more polymorphic becoming more papular and sometimes pustular and pigmented.They usually begin 6 to 8 weeks after the penile ulcer or chancre and can last days or months. Treatment of choice remains single dose of benzathine penicillin 2.4 mega units given intramuscularly. Which oral antibiotic have been found equally effective in case of penecillin hypersensitivity? View images

1 comment:

Dr. Arfan ul Bari said...

Yes,You are right. Benzathene Penecillin still is the gold standard. In our clinical pracise, we usually give two injections of 2.4 million units deep intramuscular with a week gap. In case of hypersensitivity. Erythromycin and Tetracyclins can be given but they are never equally effective.