**7. Additional management options**

All individuals who have primary and secondary syphilis are encouraged to take an HIV test at the time of diagnosis and treatment and recommended to offered HIV PrEP for negative HIV test results. Persons who have symptomatic neurologic syphilis disease should have an evaluation that includes cerebral spinal fluid analysis and individuals with syphilis who have symptoms of ocular syphilis should have cranial nerve and ophthalmologic examinations [2].
