Pediatric emergency medicine trisk 2338 2338
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HIV
Syphilis,
congenital
Syphilis,
acquired
a All
to the posterior
tonsillar pillars;
instead, they can
be found
throughout the
mouth, on the
tongue, and lips
Anogenital: painful
vesicles or
ulcers with
fever, influenzalike illness,
pruritus, dysuria,
and tender
inguinal
adenopathy
See Table 94.24
ELISA, PCR
and e-Table
94.30
See e-Table 94.31 e-Table 94.31
See e-Table 94.33
orolabial or
anogenital disease
Combination
antiretroviral
therapy
See e-Table 94.32
Nontreponemal
See e-Table 94.33
tests (VDRL,
RPR) for
screening;
treponemal
tests (FTAABS, MHATP, TP-PA) for
confirmation
patients with one sexually transmitted infection (STI) should be screened for other STIs.
should be obtained for children in whom sexual assault/abuse is suspected.
c Neonatal HSV disease is discussed earlier in the chapter.
PCR, polymerase chain reaction; IM, intramuscular; IV, intravenous; PO, by mouth; HSV, herpes simplex
virus; HIV, human immunodeficiency virus; ELISA, enzyme-linked immunosorbent assay; VDRL, venereal
disease research laboratory; RPR, rapid plasma reagin; FTA-ABS, fluorescent treponemal antibody
absorption; MHA-TP, microhemagglutination test for antibodies to Treponema pallidum; TP-PA,
Treponema pallidum particle agglutination.
b Culture
