Syphilis
Cutaneous presentations of primary and secondary syphilis in HIV-infected persons are usually similar to those in non-HIV-infected persons. HIV may delay development of serologic evidence of Treponema pallidum, resulting in negative tests. In the HIV-infected person, a negative serologic test may not be adequate to rule out secondary syphilis.
Treatment.
HIV infected patients with early syphilis should be treated with weekly intramuscular injections of penicillin G benzathine (Bicillin) 2.4 million units for 2 or 3 weeks. CSF examination is required if there are any clinical findings suggesting CNS involvement. Discount Canada Drugs
Quantitative nontreponemal tests are repeated at 1, 2, and 3 months and thereafter at 3-month intervals until a satisfactory serologic response occurs. If an appropriate fall in titer does not occur (two dilutions by 3 months for primary or by 6 months in secondary). cheap pharmacy canada