Abstract
Two patients developed neurosyphilis after treatment of latent syphilis with intramuscular benzathine penicillin. The cases confirm recent investigations that show that neither benzathine penicillin nor procaine penicillin in the standard doses results in treponemicidal concentrations of penicillin in cerebrospinal fluid. Neurosyphilis can be treated effectively by intravenous benzylpenicillin infusions of 18 to 21.6 g daily for 15 days.
Full text
PDF


Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Ducas J., Robson H. G. Cerebrospinal fluid penicillin levels during therapy for latent syphilis. JAMA. 1981 Dec 4;246(22):2583–2584. [PubMed] [Google Scholar]
- Frentz G., Nielsen P. B., Espersen F., Czartoryski A., Aastrup H. Penicillin concentrations in blood and spinal fluid after a single intramuscular injection of penicillin G benzathine. Eur J Clin Microbiol. 1984 Apr;3(2):147–149. doi: 10.1007/BF02014334. [DOI] [PubMed] [Google Scholar]
- Goh B. T., Smith G. W., Samarasinghe L., Singh V., Lim K. S. Penicillin concentrations in serum and cerebrospinal fluid after intramuscular injection of aqueous procaine penicillin 0.6 MU with and without probenecid. Br J Vener Dis. 1984 Dec;60(6):371–373. doi: 10.1136/sti.60.6.371. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Greene B. M., Miller N. R., Bynum T. E. Failure of penicillin G benzathine in the treatment of neurosyphilis. Arch Intern Med. 1980 Aug;140(8):1117–1118. [PubMed] [Google Scholar]
- Hooshmand H., Escobar M. R., Kopf S. W. Neurosyphilis. A study of 241 patients. JAMA. 1972 Feb;219(6):726–729. doi: 10.1001/jama.219.6.726. [DOI] [PubMed] [Google Scholar]
- Short D. H., Knox J. M., Glicksman J. Neurosyphilis, the search for adequate treatment. A review and report of a study using benzathine penicillin G. Arch Dermatol. 1966 Jan;93(1):87–91. [PubMed] [Google Scholar]
- Stöckli H. R. Neurosyphilis heute. Dermatologica. 1982 Oct;165(4):232–248. [PubMed] [Google Scholar]
- Tramont E. C. Persistence of Treponema pallidum following penicillin G therapy. Report of two cases. JAMA. 1976 Nov 8;236(19):2206–2207. [PubMed] [Google Scholar]
- Yoder F. W. Penicillin treatment of neurosyphilis. Are recommended dosages sufficient? JAMA. 1975 Apr 21;232(3):270–271. [PubMed] [Google Scholar]