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April 1965

Current Treatment of Syphilis

Arch Otolaryngol. 1965;81(4):327. doi:10.1001/archotol.1965.00750050338002

A CLEAR and succinct summary of current methods of treating syphilis is found in a recent issue of the New England Journal of Medicine.1 The topic is of increasing importance to physicians in general in view of the sharp rise in infectious syphilis from 6,251 reported cases in 1957, to 22,100 cases in 1963, nearly a fourfold increase in six years, reversing a declining trend of the previous decade. When one considers that private physicians report only 11% of their cases of infectious syphilis, the true incidence of this disease is becoming appalling. Dr. Fiumara ascribes this increase to declining sexual morality and personal responsibility.

The drug of choice for primary, secondary, or tertiary syphilis is penicillin G in aqueous suspension 600,000 units by intramuscular injection daily for ten days. In about 2% of cases

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