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