Cerebrospinal fluid penicillin levels during therapy for latent syphilis

JAMA. 1981 Dec 4;246(22):2583-4.

Abstract

Cerebrospinal fluid and serum penicillin levels were determined in patients with latent syphilis. Mean serum concentration one week after the third weekly dose of 2.4 million units penicillin G benzathine was 0.32 units/mL. Concurrent administration of probenecid orally produced a mean serum penicillin level of 0.41 units/mL. Doubled penicillin doses without and with daily orally administered probenecid resulted in mean serum concentrations of 0.75 and 1.00 units/mL, respectively. Two of six patients in the last group had CSF penicillin concentrations greater than 0.03 units/mL.

MeSH terms

  • Adolescent
  • Adult
  • Drug Therapy, Combination
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Penicillin G Benzathine / administration & dosage
  • Penicillin G Benzathine / blood
  • Penicillin G Benzathine / cerebrospinal fluid*
  • Probenecid / administration & dosage
  • Spinal Puncture
  • Syphilis, Latent / cerebrospinal fluid*
  • Syphilis, Latent / drug therapy

Substances

  • Probenecid
  • Penicillin G Benzathine