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Details

Med Micro - Spirochetes
Borrelia, Leptospira interrogans, Treponema pallidum (Syphilis )
10
Medical
Graduate
10/18/2008

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Cards

Term
General Treatment for Treponema pallidum (Syphilis)?
Definition
Penicillin and tetracyclines (resistance to erythromycin and other macrolides has appeared)
Term
What is the major determinant of the duration and dose of treatment for syphilis (T pallidum)?
Definition
CNS infection
Term
Treatment for Neurosyphilis?
Definition
penicillin or ceftriaxone (IV or IM) for 10-14 days
Term
Treatment for Primary, secondary, and early latent syphilis in adults without neurologic involvement?
Definition
Benzathine penicillin G in single IM dose
if penicillin allergic: an oral tetracycline each day for 2 weeks
Term
Treatment for Late latent and tertiary syphilis?
Definition
benzathine penicillin IM (1 a week for 3 weeks)
or an oral tetracycline (each day for 4 weeks)
Term
Treatment for Jarisch-Herxheimer (J-H) reaction?
Definition
self limiting, no treatment (JH can occur after antibiotic treatment)
Term
Treatment for non-venereal treponematoses (T. caraeum [pinta], T. pallidum pertenue [yaws] and endemicum)
Definition
benzathine penicillin; single dose (Individual & mass treatment)
Term
Treatment for Leptospira interrogans?
Definition
tetracyclines or penicillins; J-H reaction may occur.
Term
Treatment for Borrelia recurrentism (relapsing fever)?
Definition
oral penicillin or tetracycline
Term
Treatment for Lyme disease (Borrelia burgdorferi)?
Definition
Early: Oral tetracycline or beta-lactam antibiotic
Late disease: also oral
If CNS involvement then IV beta-lactam antibiotic is given
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