asmi
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How would you treat a pregnant lady diagnosed to have syphilis,who is allergic to penicillin ?
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| mjl1717
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Skin test her and desensitize her to PCN.
(Emycin dosnt cross the placenta well)
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| asmi
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Thanks
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| meg
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or could we use Azithromycin? that is safe in preg and is a macrolide.
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| mjl1717
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Once again macrolides dont cross placenta well--tetracycline would be a far better DISTANT second
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Smell the coffee! "Is That an Osler move??"
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| meg
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except for estolate compound of erythromycin(causes maternal hepatotoxicity) erythromycin and azithromycin are B rated drugs and fine in preg.
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| asmi
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No i think there is no other option beside penicillins for syphilis.
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