Syphilis
24-years old man has primary syphilis. Due to allergy to penicillin mentioned in his history, tetracycline was used for the therapy.
Questions
1. What is the standard therapy of syphilis and what are its alternatives in adults?
2. What are the risks of treatment with tetracycline (adverse effects)?
3. What would be your further therapeutic plan in this patient?
4. Choose the correct statement and try to explain your decision:
a) Antacids do not influence absorption of tetracycline.
b) Azithromycin would be ineffective in this patient.
c) The intake of yoghurt would be beneficial in this patient due to prevention of intestinal candidosis.
d) For full effectiveness, tetracycline should be used for 15 days.
e) Tetracycline is a potent inhibitor of liver metabolic enzymes.