Treatment Desired Outcome

After confirming the diagnosis of syphilis, the desired outcome is a fourfold decrease in quantitative nontreponemal titers over a 6-month period and within 12 to 24 months after treatment of latent or late syphilis. An algorithm for the treatment of syphilis is shown in Figure 80-1.

With regard to neurosyphilis, a reduction in neurologic manifestations is desired, which may include seizures, paresis, hyperreflexia, visual disturbances, hearing loss, neuropathy, or loss of bowel and bladder function. In late neurosyphilis, vascular lesions (meningovascular neurosyphilis) may also be observed; thus, a reduction in the number of observed lesions is warranted. A diminution in CSF WBC (less than 10 x 103/mm3 [10 x 109/L]) or protein levels (0.05 g/dL [0.5 g/L]) is also preferred.

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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