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New Directions In STD Treatment - University of Hawaii

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Criteria for CSF Examination<br />

� Neurologic or ophthalmic symptoms/signs<br />

� Evidence <strong>of</strong> tertiary disease<br />

� aortitis, gumma, iritis<br />

� <strong>Treatment</strong> failure<br />

� HIV infection with late latent or latent <strong>of</strong> unknown<br />

duration<br />

� Some experts recommend a CSF exam in all<br />

patients with latent syphilis and an RPR titer<br />

≥ 1:32 and HIV-infected patients with CD4<br />

count ≤ 350

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