Gilliet F
Schweiz Med Wochenschr. 1975 Jan 4;105(1):21-6.
In the presence of penicillin allergy early syphilis can be treated with tetracyclines, erythromycin and thiamphenicol. Treatment with semisynthetic penicillins or cephalosporins should not be attempted in view of possible cross-sensitivity. From comparison of different antibiotic treatment schedules in the literature a time-dose relationship seems evident: within therapeutic limits, treatment with a high daily dose of antibiotic requires a relatively short duration, and vice versa. Results of various treatment schedules with different antibiotics suggest that preference should be given to doxycycline by oral route, 100 mg twice daily for 12 days.
对于青霉素过敏的早期梅毒患者,可用四环素、红霉素和甲砜霉素进行治疗。鉴于可能存在交叉敏感性,不应尝试使用半合成青霉素或头孢菌素进行治疗。从文献中对不同抗生素治疗方案的比较来看,时间-剂量关系似乎很明显:在治疗范围内,每日高剂量抗生素治疗所需时间相对较短,反之亦然。不同抗生素的各种治疗方案结果表明,口服多西环素是首选,每日100毫克,分两次服用,共12天。