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Treatment of Psychiatric Symptoms Associated With Neurosyphilis

Albert Einstein Medical Center, Filadelfia, Pennsylvania, United States
Psychosomatics (Impact Factor: 1.67). 09/2007; 48(5):440-5. DOI: 10.1176/appi.psy.48.5.440
Source: PubMed

ABSTRACT There is currently no consensus on how to manage the psychiatric manifestations of neurosyphilis, despite the resurgence of this condition. The authors present five cases of neurosyphilis in inpatient psychiatric settings that manifested with predominantly psychiatric symptoms and were appropriately diagnosed and successfully treated with psychotropic medication concurrent with antibiotic therapy. A review of available data reveals that presently there are no specific guidelines to address psychiatric symptomatology in neurosyphilis. The authors see merit in the prudent use of psychotropic medication to achieve symptom stabilization.

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    • "The CT scan in our patient revealed cortical atrophy, which was in keeping with published literature (Holland,1986; Pavitharan,1993 and G├╝rses, 2007). Psychiatric symptoms improved with addition of antibiotic therapy to his antipsychotic medication, similar to the case series by Sanchez (2007). "
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