[Parenchymal neurosyphilis. Insidious onset (dementia) and acute onset (manic type) forms].
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.
Galindo Menéndez
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Servicio de Psiquiatría, Hospital de León.
D000208:Acute Disease; D000328:Adult; D001714:Bipolar Disorder / Q000150:complications* / Q000175:diagnosis; D001921:Brain / Q000503:physiopathology; D003704:Dementia / Q000150:complications* / Q000175:diagnosis; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009494:Neurosyphilis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D010406:Penicillins / Q000008:administration & dosage / Q000627:therapeutic use; D011569:Psychiatric Status Rating Scales
D010406:Penicillins