Psychosis or simply a new manifestation of neurosyphilis?
| Autor: | K. Gkiatas, N Dimopoulos, E Kararizou, C H Mitsonis, N Kalfakis, I. Markou |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Psychosis Pediatrics medicine.medical_specialty Biochemistry Rapid plasma reagin Neurosyphilis 03 medical and health sciences 0302 clinical medicine Blood serum medicine Humans 030212 general & internal medicine 030505 public health medicine.diagnostic_test business.industry Lumbar puncture Biochemistry (medical) Headache Cell Biology General Medicine Fluorescent Treponemal Antibody Absorption medicine.disease Surgery Psychotic Disorders Syphilis Differential diagnosis 0305 other medical science business |
| Zdroj: | The Journal of international medical research. 34(3) |
| ISSN: | 0300-0605 |
| Popis: | The widespread use of antibiotics in recent years has caused a significant reduction in the incidence of neurosyphilis and changes in its clinical features. We present a case that initially presented as persistent headache and untreatable psychosis. Neurosyphilis was diagnosed during the clinical evaluation. Blood serum analyses for syphilis were positive for rapid plasma reagin titres, the Venereal Disease Research Laboratories test and fluorescent treponemal antibody absorption. A lumbar puncture was performed and cerebrospinal fluid analysis resulted in the diagnosis of neurosyphilis. The patient completed a 2-week course of treatment with aqueous crystalline penicillin G and his symptoms subsequently improved. We suggest that neurosyphilis should always be included in the differential diagnosis of untreatable psychosis. |
| Databáze: | OpenAIRE |
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