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Penicillin concentrations in cerebrospinal fluid after different treatment regimens for syphilis

The concentrations of penicillin in the cerebrospinal fluid (CSF) were compared simultaneously with those in the serum in 17 patients with syphilis. The antibiotic concentrations were measured by the agar well diffusion method. There were no detectable concentrations of penicillin in the CSF after a...

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Published in:British journal of venereal diseases 1980-12, Vol.56 (6), p.363-367
Main Authors: Polnikorn, N, Witoonpanich, R, Vorachit, M, Vejjajiva, S, Vejjajiva, A
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cited_by cdi_FETCH-LOGICAL-b511t-bd8f612ea20806be5621df84ef4ea2a1572be1df1f0912355f112f1103566a083
cites cdi_FETCH-LOGICAL-b511t-bd8f612ea20806be5621df84ef4ea2a1572be1df1f0912355f112f1103566a083
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container_title British journal of venereal diseases
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creator Polnikorn, N
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Vorachit, M
Vejjajiva, S
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description The concentrations of penicillin in the cerebrospinal fluid (CSF) were compared simultaneously with those in the serum in 17 patients with syphilis. The antibiotic concentrations were measured by the agar well diffusion method. There were no detectable concentrations of penicillin in the CSF after administration of benzathine penicillin 2.4 megaunits, benzathine penicillin 7.2 megaunits, procaine penicillin in aluminium monostearate (PAM) 12 megaunits, or aqueous procaine penicillin G 2.4 megaunits. Only after high doses of aqueous penicillin G 24 megaunits daily or aqueous penicillin G 2 megaunits daily together with oral probenecid 2 g daily was penicillin detectable in the CSF. The concentrations after the latter regimen were the highest and much higher than the minimum inhibitory concentration for Treponema pallidum.
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identifier ISSN: 0007-134X
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1472-3263
language eng
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source PubMed Central
subjects Adult
Aged
Drug Therapy, Combination
Female
Humans
Male
Middle Aged
Penicillin G - administration & dosage
Penicillin G Benzathine - administration & dosage
Penicillin G Procaine - administration & dosage
Penicillins - cerebrospinal fluid
Probenecid - administration & dosage
Syphilis - cerebrospinal fluid
Syphilis - drug therapy
title Penicillin concentrations in cerebrospinal fluid after different treatment regimens for syphilis
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