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What is the preferred treatment regimen for cardiovascular syphilis, specifically syphilitic ostial coronary artery disease?

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Mednet Member
Mednet Member
Infectious Disease · University of Washington Center for AIDS and STD

The standard treatment with benzathine pen G 2.4 MU IM, 1-3 doses at weekly intervals, depending on likely duration of syphilis, should be sufficient. Most likely there is no need for especially high dose penicillin therapy. I can understand a theoretical rationale for it, for urgent or potentially ...

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