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January 1982

Meningovascular Syphilis After 'Appropriate' Treatment of Primary Syphilis

Author Affiliations

From the Division of Infectious Diseases, Department of Medicine (Drs Moskovitz and Quintiliani), the Section of Epidemiology (Dr Klimek), and the Department of Radiology (Dr Goldman), Hartford (Conn) Hospital; and the Division of Communicable and Venereal Diseases, Massachusetts Department of Public Health, Boston (Dr Fiumara).

Arch Intern Med. 1982;142(1):139-140. doi:10.1001/archinte.1982.00340140141023

• Meningovascular syphilis developed in a patient two years after the treatment of primary syphilis with a single intramuscular injection of 2.4 million units of penicillin G benzathine as recommended by the Centers for Disease Control. Although it could not be established with certainty whether this infection represented a reinfection or a treatment failure, the case emphasizes the necessity for serologic follow-up examination in all patients treated for primary syphilis.

(Arch Intern Med 1982;142:139-140)