While ceftizoxime given as a single intramuscular shot cures uncomplic
ated gonorrhoea in almost every case, its efficacy against Treponema p
allidum in cases of concomitant incubating syphilis is less clear. To
analyse this question, the rabbit orchitis model was used. After initi
al experiments defining appropriate inocula and doses, ceftizoxime was
compared to penicillin G with its well-known activity against the org
anism in vitro and in vivo. According to the final experiment, ceftizo
xime applied in doses corresponding to the ones used in humans for unc
omplicated gonorrhoea cures rabbit orchitis due to T. pallidum about a
s effectively as penicillin. Hence there seems to be no need to refrai
n from using the third-generation cephalosporin ceftizoxime to cure go
norrhoea for fear of masking concomitant syphilis.