By rray, 21 June, 2024 Patient Type Header (Long) Neurosyphilis/Ocular syphilis Does this Patient Type contain sub types? No Patient Type Details Tx neurosyphilis ocular syphilis1 w IV aqueous crystalline penicillin G 18 24 MU day divided 3 4 MU IV q4h or via continuous infusion x10 14 days2 After completion of neurosyphilis tx consider benzathine penicillin G 2 4 MU IV qwk x3 after to provide total duration of tx comparable to latent syphilis tx Test for HIV and if in high prevalence area retest in 3mo Inform pt about Jarisch Herxheimer rxn4 and its tx If initial CSF pleocytosis repeat CSF exam q6mo until cell count normal if CSF cell count not darr after 6mo or if cell count protein not normal after 2y consider re tx