Neurosyphilis and schizophrenia.
Neurosyphilis continues to present in atypical forms, leading to erroneous diagnoses by physicians and psychiatrists. This patient, with a previous history of psychosis, presented in a catatonic state with rhabdomyolysis and renal failure. A subsequent breakdown was thought to be schizophrenic until unusual features led to a reassessment and discovery of neurosyphilis which was treated with penicillin and resulted in a remarkable clinical recovery.
Sivakumar
K
K
Maidstone Hospital Psychiatric Wing, Maidstone, Kent.
Okocha
C I
CI
D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019965:Neurocognitive Disorders / Q000175:diagnosis* / Q000523:psychology; D009483:Neuropsychological Tests; D009494:Neurosyphilis / Q000175:diagnosis* / Q000523:psychology; D012008:Recurrence; D012560:Schizophrenia, Catatonic / Q000175:diagnosis* / Q000523:psychology; D013588:Syphilis Serodiagnosis