Sanchez Francis M, Zisselman Marc H
Werber Bryan Psychiatric Hospital, South Carolina Department of Mental Health, Staff Center C-D, 220 Faison Dr., Columbia, SC 29203, USA.
Psychosomatics. 2007 Sep-Oct;48(5):440-5. doi: 10.1176/appi.psy.48.5.440.
There is currently no consensus on how to manage the psychiatric manifestations of neurosyphilis, despite the resurgence of this condition. The authors present five cases of neurosyphilis in inpatient psychiatric settings that manifested with predominantly psychiatric symptoms and were appropriately diagnosed and successfully treated with psychotropic medication concurrent with antibiotic therapy. A review of available data reveals that presently there are no specific guidelines to address psychiatric symptomatology in neurosyphilis. The authors see merit in the prudent use of psychotropic medication to achieve symptom stabilization.
尽管神经梅毒这种病症有所复发，但目前对于如何处理其精神症状尚无共识。作者介绍了5例在住院精神科环境中出现的神经梅毒病例，这些病例主要表现为精神症状，并在抗生素治疗的同时合理使用精神药物进行了恰当诊断和成功治疗。对现有数据的回顾显示，目前尚无针对神经梅毒精神症状的具体指南。作者认为谨慎使用精神药物以实现症状稳定是有价值的。
