Nielsen Rikke Maria, Sadovina Elena
Ugeskr Laeger. 2017 Sep 4;179(36).
A 46-year-old previously healthy man was referred to a psychiatric department after debuting with persecutory delusions. He had symptoms of Parkinson's disease as well as a significant impairment of memory and cognitive function. Neurological tests detected discrete balance and rigidity problems. Paraclinical tests were normal, and neurologists explained the symptoms as side effects to the antipsychotic medication. A lumbar puncture showed high concentrations of leukocytes and protein, and syphilis screening was positive. Neurosyphilis often debuts with psychiatric symptoms as seen in this case.
一名46岁、既往健康的男性在首次出现被害妄想后被转诊至精神科。他有帕金森病症状以及明显的记忆和认知功能损害。神经学检查发现有轻微的平衡和僵硬问题。辅助检查结果正常，神经科医生将这些症状解释为抗精神病药物的副作用。腰椎穿刺显示白细胞和蛋白质浓度升高，梅毒筛查呈阳性。如本例所见，神经梅毒常以精神症状首发。
