Gastal F L, Leite S S, Carnieletto G E, Carnieletto Júnior A, Tomaschewski Netto G, Bacelo A P, Gastal C L
Núcleo de Pesquisa em Saúde Mental (NUPESM) e Informática Aplicada, Clínica Olivé Leite (COL), Universidade Católica de Pelotas (UCPel).
Arq Neuropsiquiatr. 1995 Sep;53(3-A):494-7.
The present study is based on the observation of a case at the inpatient service of Clinica Olivé Leite in August 1992. A 31 years old female patient, showing cognitive deterioration and dementia syndrome associated with paranoid elements (hallucination and delirium), was admitted as a case of organic psychosis. Diagnostic investigation evidenced positive tests for syphilis in serum and cerebrospinal fluid. The following peculiar aspects are emphasized in this case: severe clinical presentation, severe presentation symptoms (amaurosis and a severe cognitive deficit), sex, age, and for being the first case diagnosed in the service since 1968 (occasion in which the last neurosyphilis case was registered in its data bank). In the following nine months, after penicillin therapy, the patient showed some improvement characterized by a reduction of productive symptoms of hallucination and delusion type, reduction of the cognitive deficit, and a higher production of the social behavior activities.
本研究基于1992年8月在奥利韦·莱特诊所住院部对一例病例的观察。一名31岁女性患者，表现出认知衰退以及伴有偏执成分（幻觉和谵妄）的痴呆综合征，被收治为器质性精神病病例。诊断检查表明血清和脑脊液梅毒检测呈阳性。该病例强调了以下特殊方面：严重的临床表现、严重的症状表现（黑蒙和严重的认知缺陷）、性别、年龄，以及自1968年（该诊所数据库中最后一例神经梅毒病例登记之时）以来该科室诊断的首例病例。在接下来的九个月里，经过青霉素治疗后，患者出现了一些改善，表现为幻觉和妄想型的显性症状减少、认知缺陷减轻以及社交行为活动增多。
