2.Syphilis
Protocols
Syphilis:Click here for more details
Clinical Features :
1)sore throat.
2)fever.
3)swollen lymph glands.
4)headaches.
5)fatigue.
6)muscle aches.
7)wart-like patches around skin folds or genitals.(Small, painless sore (chancre) on the genitals, anus, or mouth)
8)loss of appetite
Investigations:
- 1. TPHA (+ve after 6 wks )
- 2. Venereal disease research laboratory (VDRL) test.
- The VDRL test checks blood or spinal fluid for an antibody that can be produced in people who have syphilis.
- 3. Rapid plasma reagin (RPR) test. The RPR test also finds syphilis antibodies.
- 4. Rapid immunochromatographic test.
*** TPHA is positive 6-12 months after completete treatment.
Rx:
Cap. Doxicap(Dixycycline)(100mg)
- ১+০+১...14 দিন
OR
Inj.Ceftron(Ceftriaxone) (500mg)
- IM daily .....10 days (if no penicilline anaphylaxsis)
OR
Tab.Zimax(azithromycin) (500mg)
- 0+0+1........10 days
OR
Tab.Eromycin DS(Erythromycin)(500mg)
- 0+0+1........14 days
Late latent ,Cardiovascular & gummatous syphilis:
Cap. Doxicap(Dixycycline)(100mg)
- 1+০+1......28 days
Neuro-Syphilis (opthalmic/neurological involvement):
Cap. Doxicap(Dixycycline)(100mg)
- 1+০+1......28 days
OR
Inj.Ceftron(Ceftriaxone) (2g)
- IM /IV daily/BD .....10 -14 days (if no penicilline anaphylaxsis)
Early Syphilis in Pregnacy:
Inj.Ceftron(Ceftriaxone) (500mg)
- IM daily .....10 days (if no penicilline anaphylaxsis)
OR
Tab.Zimax(azithromycin) (500mg)
- 0+0+1........10 days
OR
Tab.Eromycin DS(Erythromycin)(500mg)
- 0+0+1........14 days
Congenital syphilis :
- Procaine penicillin 50,000/kg daily IM 10 days.
Advice:
- অযাচিত যৌন মিলন করা যাবেনা
- যৌন মিলনের সময় কনডম ব্যবহার করবেন