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Syphilis plan
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ο»Ώ acute febrile illness 2 to 24 hrs after penicillin
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ο»Ώ if late latent (>1 year) or unknown latent stage
ο»Ώ if neurosyphilis suspected
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Post-Tx follow-up: RPR at 12 months
Primary: RPR at 12 months should decrease by 3 dilutions (e.g. 1:32 β 1:4)
Secondary: RPR at 12 months should decrease 4 dilutions
Early latent: RPR at 12 months should decrease by 2 diluations
Expect titer β€ 1:4 and stable
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