Final answer:
Neurosyphilis should be treated with intravenous penicillin G, typically as aqueous crystalline penicillin G administered for 10-14 days. For patients allergic to penicillin, desensitization is necessary as alternatives are less effective. The treatment is crucial to prevent further damage caused by the syphilis bacterium.
Step-by-step explanation:
If a patient has neurosyphilis, the recommended treatment is intravenous penicillin G. For neurosyphilis, the regimen typically consists of aqueous crystalline penicillin G administered every 4 hours or as a continuous infusion for 10-14 days.
In cases where the patient might have an allergy to penicillin, desensitization is recommended because alternative treatments like doxycycline or tetracycline are considered less effective.
It's important to treat neurosyphilis aggressively with penicillin to ensure that the infection is cured, as antibiotics are highly effective at killing the syphilis bacteria and preventing further damage.
Unlike syphilis affecting other parts of the body, the treatment for neurosyphilis requires a more intensive course of antibiotics due to the involvement of the central nervous system.
Additionally, pregnant women with syphilis require penicillin treatment to prevent mother-to-fetus transmission, with a 98% success rate. The diagnosis of neurosyphilis is not reliant on a single test but involves a variety of assessments including VDRL-CSF.