By rray, 24 June, 2024 Patient Type Header (Long) HIV(+) Does this Patient Type contain sub types? No Patient Type Details Treat w benzathine penicillin G1 2 2 4 MU IM x1 If neuro3 or ocular s sx present perform CSF eval slit lamp and otologic exam Use of HIV antiretroviral tx may improve syphilis outcomes Inform pt about Jarisch Herxheimer rxn If dx in 2nd half of pregnancy eval for congenital syphilis w fetal sonogram4 If s sx persist recur post tx or nontreponemal titers uarr 4 fold and persist for 2wk 5 Serologic f u depends on gestational age at dx tx Postpartum clinical serologic f u at 3 6 9 12 24mo post tx