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Syphilis plan

 acute febrile illness 2 to 24 hrs after penicillin

 if late latent (>1 year) or unknown latent stage

 if neurosyphilis suspected

Post-Tx follow-up: RPR at 12 months

Primary: RPR at 12 months should decrease by 3 dilutions (e.g. 1:32 → 1:4)

Secondary: RPR at 12 months should decrease 4 dilutions

Early latent: RPR at 12 months should decrease by 2 diluations

Expect titer ≤ 1:4 and stable

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