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Neurosyphilis - Treponema pallidum - Diagnosis Algorithm Lumbar Puncture Indications: • Neuro / Ocular symptoms • HIV (esp low CD4 count) • Treatment Failure • Tertiary Syphilis LP Triad: 1) Reactive VDRL 2) Lymphocytic Pleocytosis 3) Elevated Protein Treatment: IV PCN G for 14 days Dr. Kristen Carroll @NUIM_Chiefs #Neurosyphilis #Treponema #pallidum #Diagnosis #Algorithm #Lumbar #puncture #management #diagnosis #syphilis