By rray, 24 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 G2 18 24 MU day divided 3 4 MU IV q4h or via continuous infusion x10 14 days3 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 4 and if in high prevalence area retest in 3mo If dx in 2nd half of pregnancy eval for congenital syphilis w fetal sonogram5 Inform pt about Jarisch Herxheimer rxn Serologic f u depends on gestational age at dx 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