误诊为神经梅毒并伴有长期精神病症状。
Misdiagnosed neurosyphilis associated with prolonged psychosis.
作者信息
Faden Justin, O'Reardon John
机构信息
School of Osteopathic Medicine,Rowan University,Psychiatry,2250 Chapel Ave,Suite 100,Cherry Hill,NJ,USA.
出版信息
Acta Neuropsychiatr. 2016 Dec;28(6):362-364. doi: 10.1017/neu.2016.23. Epub 2016 Jun 6.
OBJECTIVE
After the prevalence of syphilis had reached historic lows, the Center for Disease Control devised a plan to eradicate syphilis in the United States. Since that decree there has been a dramatic rise in new cases. Psychosis is an ominous symptom of neurosyphilis.
METHODS
We report a case of neurosyphilis that was misdiagnosed and staged incorrectly.
RESULTS
Failure to diagnose neurosyphilis was associated with prolonged psychosis that has been refractory to antipsychotic treatment.
CONCLUSION
Psychiatrists should renew their vigilance for neurosyphilis in the setting of a positive screening test and psychosis.
目的
梅毒患病率降至历史最低点后，疾病控制中心制定了一项在美国根除梅毒的计划。自该法令颁布以来，新病例急剧增加。精神病是神经梅毒的一种不祥症状。
方法
我们报告一例神经梅毒被误诊且分期错误的病例。
结果
未能诊断出神经梅毒与长期精神病有关，这种精神病对抗精神病治疗无效。
结论
在筛查试验呈阳性且伴有精神病的情况下，精神科医生应重新警惕神经梅毒。
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