By rray, 21 June, 2024 Patient Type Header (Long) HIV(+) Does this Patient Type contain sub types? No Patient Type Details Treat w benzathine penicillin G 2 4 MU IM x1 If PCN allergy and compliance and f u ensured alt tx options1 include If PCN allergy but compliance and f u not ensured perform PCN desensitization and treat w benzathine penicillin G Use of HIV antiretroviral tx may improve syphilis outcomes Careful neuro exam If neuro4 or ocular s sx present perform CSF5 eval slit lamp and otologic exam Inform pt about Jarisch Herxheimer rxn6 and its tx If s sx persist recur post tx or nontreponemal titers uarr 4 fold and persist for 2wk Clinical serologic f u at 3 6 9 12 and 24mo post tx