A woman is seen in clinic with confirmed secondary syphilis. She reports a recent allergy to penicillin consisting of a non-severe rash. According to ...

Question

A woman is seen in clinic with confirmed secondary syphilis. She reports a recent allergy to penicillin consisting of a non-severe rash. According to BASHH 2024, what is the recommended treatment approach?

Accepted Answer

Assess the allergy - a non-severe rash is unlikely to represent true penicillin allergy. Benzathine penicillin can be administered with appropriate supervision. True allergy should be confirmed before denying penicillin

Answer

Give doxycycline as first-line to avoid any penicillin use

Answer

Give ceftriaxone regardless

Answer

Give azithromycin 2 g stat

Answer

No treatment is needed until allergy testing is complete

uk-dfsrh MCQ (SBA): Syphilis Non-Severe Penicillin Rash Allergy Assessment

A woman is seen in clinic with confirmed secondary syphilis. She reports a recent allergy to penicillin consisting of a non-severe rash. According to BASHH 2024, what is the recommended treatment approach?