Schneider Robert K, Robinson Michael J, Levenson James L
Departments of Psychiatry and Internal Medicine, Division of Consultation-Liaison Psychiatry, Medical College of Virginia, Campus of Virginia Commonwealth University, Richmond, Virginia, USA.
Psychiatr Clin North Am. 2002 Mar;25(1):1-16. doi: 10.1016/s0193-953x(03)00049-2.
Infectious diseases can cause an array of symptoms, including psychiatric symptoms. Psychiatrists serving the medically ill need to be aware not only of classic infectious diseases (e.g., neurosyphilis and HIV), but also of less commonly discussed infectious diseases (e.g., NCC, PANDAS, and Lyme disease). These examples represent an internationally endemic disease (e.g., NCC), a probable immunogenetic disease (e.g., PANDAS), and a frequently overdiagnosed and overtreated disease (Lyme disease).
传染病可引发一系列症状,包括精神症状。为患有躯体疾病的患者提供服务的精神科医生不仅需要了解典型的传染病(如神经梅毒和艾滋病),还需要了解较少被讨论的传染病(如神经囊尾蚴病、儿童自身免疫性神经精神障碍相关链球菌感染和莱姆病)。这些例子分别代表一种国际地方性疾病(如神经囊尾蚴病)、一种可能的免疫遗传性疾病(如儿童自身免疫性神经精神障碍相关链球菌感染)以及一种经常被过度诊断和过度治疗的疾病(莱姆病)。