82 - DSTs Flashcards
1
Q
Tríade de Hutchinson?
A
Tríade sintomático da sífilis congénita tardia:
- queratite intersticial,
- anomalias dentárias (doentes de Hutchinson);
- surdez neurossensorial.
2
Q
Indicações para PL na sifilis secundária?
A
A lumbar puncture and cerebrospinal fluid (CSF) analysis should be performed in:
a) patients with ocular or neurologic (e.g. headache, hearing loss, cranial neuropathies) signs/symptoms;
b) when treatment failure is suspected (e.g. persistent/recurrent signs/symptoms or failure of non-treponemal test titers to decline fourfold within 6–12 months).
Patients with HIV are at increased risk for neurosyphilis, especially if they have a CD4 count <350 cells/ml and/or a RPR titer of ≥1 : 32; however, unless neurologic symptoms are present, CSF examination in HIV patients has not been associated with improved clinical outcomes.
