Jarisch-Herxheimer reaction following penicillin treatment of early congenital syphilis.
نویسنده
چکیده
ever, as an aftermath of the second world war there was a marked increase in the incidence of early acquired syphilis which reached its peak in the year 1946. Not unexpectedly, it resulted in a steep rise in the number of congenital syphilis cases in 1948 and 1949, followed by a gradual fall in the ensuing years to a low level in 1952 (Morton, 1954). Earlier communications on penicillin treatment of congenital syphilis, particularly from the U.S.A.,
منابع مشابه
Jarisch-Herxheimer reaction among HIV-positive patients with early syphilis: azithromycin versus benzathine penicillin G therapy
INTRODUCTION The Jarisch-Herxheimer reaction, a febrile inflammatory reaction that often occurs after the first dose of chemotherapy in spirochetal diseases, may result in deleterious effects to patients with neurosyphilis and to pregnant women. A single 2-g oral dose of azithromycin is an alternative treatment to benzathine penicillin G for early syphilis in areas with low macrolide resistance...
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Penicillin therapy has revived interest in the complex of focal and systemic manifestations which is known as the Jarisch-Herxheimer reaction (JHR). Some of the views on the JHR from the mercurybismuth-arsphenamine era have had to be altered. In this respect attention should be called to the investigations of Farmer (1948) on the relationship between the JHR and the dose of penicillin, which re...
متن کاملJarisch-Herxheimer reaction after penicillin therapy among patients with syphilis in the era of the hiv infection epidemic: incidence and risk factors.
The incidence of and risk factors for Jarisch-Herxheimer (JH) reaction were investigated prospectively among 240 human immunodeficiency virus (HIV)-infected and 115 HIV-uninfected patients with syphilis who received penicillin treatment. The overall rate of JH reaction was 31.5% (34.6% in HIV-infected patients and 25.2% in HIV-uninfected patients). In multivariate analysis, risk factors for JH ...
متن کاملStroke after Initiating IV Penicillin for Neurosyphilis: A Possible Jarisch-Herxheimer Reaction
Introduction. Syphilis incidence has increased in the US in the last decade. Jarisch-Herxheimer reaction (JHR) is a well-documented adverse effect of penicillin treatment in syphilis. Stroke has not been reported as part of its phenomenology. Case Report. A 57-year-old man presented with worsening memory. His minimental status examination score was 14/30. Serum RPR test was positive and VDRL te...
متن کاملPenicillin-induced Jarisch-Herxheimer reaction.
OBJECTIVE To report a case of Jarisch-Herxheimer reaction (JHR) in a patient with presumed neurosyphilis and HIV. CASE SUMMARY A 45-year-old HIV-positive man (CD4+ count 450 cells/mm(3) and history of AIDS-defining illness) presented with JHR after an initial intravenous dose of penicillin G for presumed neurosyphilis. The patient described feeling cold with worsening headache and chills appr...
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عنوان ژورنال:
- The British journal of venereal diseases
دوره 32 3 شماره
صفحات -
تاریخ انتشار 1956