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A late form of neurosyphilis manifesting with psychotic symptoms in old age and good response to ceftriaxone therapy.

06:00 EDT 17th September 2010 | BioPortfolio

Summary of "A late form of neurosyphilis manifesting with psychotic symptoms in old age and good response to ceftriaxone therapy."

ABSTRACTNeurosyphilis can present with psychiatric symptoms. The late form can occur in old age with psychosis, paranoid delusions, affective disorders or cognitive impairment. Here we present a case of neurosyphilis in an elderly woman who, over six months, progressively manifested personality changes and paranoid delusions which were initially suspected as Alzheimer's disease. Psychotic symptoms showed a good response to antibiotic treatment. We conclude that neurosyphilis is a relevant differential diagnosis in patients developing severe psychiatric symptoms in old age. As a causal antibiotic treatment is possible this infectious disease should be considered seriously in gerontopsychiatric patients.

Affiliation

Department of Psychiatry and Psychotherapy, University of Tübingen, Tübingen, Germany.

Journal Details

This article was published in the following journal.

Name: International psychogeriatrics / IPA
ISSN: 1741-203X
Pages: 1-4

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