[What's bugging him?].
The purpose of this study is to report the case of a 34 year old patient, from Zaïre for whom a wrong diagnosis could have been fatal. Recent events in his affective and professional life, associated with typical symptoms, suggested a major depression. However after two months of being admitted a psychiatric ward, the resistance to treatment together with some biological data suggested further investigations. They revealed a subacuse meningo-encephalitis of parasitological etiology. The psychiatric aspects of trypanosomiasis commonly known by clinicians in Africa justifies, in patients from that continent, a systematic test for trypanosomiasis.
Brut
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Service de Psychiatrie, Centre Jean-Delay, CH René-Dubos, Pontoise.
Zuech
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P
Servan
J
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Tabeze
J P
JP
D000208:Acute Disease; D000328:Adult; D020808:Central Nervous System Protozoal Infections / Q000175:diagnosis / Q000469:parasitology / Q000523:psychology; D003865:Major Depressive Disorder / Q000175:diagnosis* / Q000523:psychology* / Q000534:rehabilitation; D003937:Diagnosis, Differential; D006760:Hospitalization; D006801:Humans; D008297:Male; D012720:Severity of Illness Index; D014352:Trypanosomiasis / Q000150:complications*
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