TY - CHAP M1 - Book, Section TI - Syphilis A1 - Usatine, Richard P. A1 - Chumley, Heidi A2 - Usatine, Richard P. A2 - Sabella, Camille A2 - Smith, Mindy Ann A2 - Mayeaux, E.J. A2 - Chumley, Heidi S. A2 - Appachi, Elumalai PY - 2015 T2 - The Color Atlas of Pediatrics AB - A young woman presents to the office with a total body rash for one week (Figure 181-1). She denies other symptoms and the rash does not itch. Upon examination, tattoos on her hands are visible and she does admit to experimenting with crack and IV heroine. The physician suspects that she may have secondary syphilis and she admits to many sexual partners especially while using drugs. She is given a shot of 2.4 million units of benzathine penicillin IM in the office and her blood is drawn for an RPR and an HIV test. The RPR and HIV tests come back positive along with a treponemal specific confirmatory test. The patient is called to return to the office for some serious counseling and a referral to an infectious disease specialist. The ID specialist is called on the phone to see if he wants to admit her for a lumbar puncture or if he will do this as an outpatient. She needs investigation for neurosyphilis due to her positive HIV status. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesspediatrics.mhmedical.com/content.aspx?aid=1114878604 ER -