علاج الزهري الثالثي مع التهاب الأبهر القلبي الوعائي (الأبهر الصاعد)

References

• The diagnosis of cardiovascular syphilis is made by the presence of the typical clinical features combined with positive syphilis serology after exclusion of other causes.
• Cardiovascular syphilis typically occurs 15–30 years after infection.
• Benzathine penicillin 2.4 MU IM weekly for 3 weeks (three doses): 1C.
• Doxycycline 100 mg PO BD for 28 days: 2D.
• Amoxycillin 2 g PO three times daily (TDS) PLUS probenecid 500 mg QDS for 28 days: 2C.
• Ceftriaxone 2 g IM or IV for 10–14 days: 2D.
• Steroids should be given with all anti-treponemal antibiotics for cardiovascular syphilis; 40–60 mg prednisolone OD for 3 days starting 24 h before the antibiotics.