Galindo Menéndez A
Servicio de Psiquiatría, Hospital de León.
Actas Luso Esp Neurol Psiquiatr Cienc Afines. 1996 Sep-Oct;24(5):261-7.
The increased rates in recent years of primary and secondary syphilis, with a renovated interest of central nervous system infection by the treponema pallidum, justify the presentation of two cases of classic General Paresis: Dementia and Mania. Both patients fulfilled sufficient criteria as to elaborate a process of differential diagnostic of physical illness in patients with mental disorders, which include a battery laboratory tests. The positive response to a protocol with penicillin improved both the clinical symptoms and the laboratory tests.
近年来一期和二期梅毒发病率上升，同时梅毒螺旋体对中枢神经系统感染的关注度再度提高，这使得两例典型的全身麻痹性痴呆（即痴呆和躁狂）病例的呈现具有了合理性。两名患者均符合足够的标准，从而能够对精神障碍患者的躯体疾病进行鉴别诊断，其中包括一系列实验室检查。对青霉素治疗方案的阳性反应改善了临床症状和实验室检查结果。
