A woman with a known penicillin allergy (rash only, not anaphylaxis) is diagnosed with primary syphilis. What is the recommended treatment?...

Question

A woman with a known penicillin allergy (rash only, not anaphylaxis) is diagnosed with primary syphilis. What is the recommended treatment?

Accepted Answer

Benzathine penicillin 2.4 million units IM - penicillin rash alone does not contraindicate penicillin use; she should be assessed for true allergy and given penicillin under supervision if appropriate

Answer

Doxycycline 200 mg twice daily for 28 days

Answer

Azithromycin 2 g stat

Answer

Erythromycin 500 mg QDS for 14 days

Answer

No treatment is possible with penicillin allergy

uk-dfsrh MCQ (SBA): Syphilis Treatment Penicillin Rash Allergy

A woman with a known penicillin allergy (rash only, not anaphylaxis) is diagnosed with primary syphilis. What is the recommended treatment?