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  • Title: [Blood-CSF kinetics of penicillin G in neurosyphilis (author's transl)].
    Author: Ritter G, Volles E, Müller F, Nabert-Bock G.
    Journal: MMW Munch Med Wochenschr; 1975 Aug 29; 117(35):1383-6. PubMed ID: 809679.
    Abstract:
    Measurements of the penicillin concentration in serum and cerebrospinal fluid patients with neurosyphilis showed that conventional therapy can attain effective treponemocidal levels for only a short time or not at all in the CSF and brain-tissue, the regions where the treponemas are found in this particular stage of disease. Intravenous infusions with high doses (0,5 mega unit penicillin-G/kg body weight in 24 hours) over more than one generation phase of the treponemas (35-43 hours) considerably improve the recovery. 16 patients were treated in this way and been followed over 2-3 years clinically and immunologically.
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