title: Late-stage parenchymatous neurosyphilis presenting as general paresis of insane, Poland – case report
abstract: We describe a very rare case of late-stage parenchymatous neurosyphilis, presenting as general paresis of insane, diagnosed in a 44-year-old male truck driver. Probable place of exposition was Belarus. An appropriate clinical examination, laboratory diagnostics, and subsequent effective treatment and follow-up in accordance with evidence-based management guidelines are essential to avoid irreversible sequelae in these late-stage neurosyphilis patients. Increased awareness that rare cases of parenchymatous neurosyphilis still exist in the 21st century is crucial and this entity should still be considered in differential diagnosis in patients with neuropsychiatric symptoms such as memory or cognitive impairment.
authors.affiliation: Klinika Dermatologii i Wenerologii, Uniwersytet Medyczny w Białymstoku
authors.forename: Agnieszka Beata
authors.initials: AB
authors.lastname: Serwin
authors.affiliation: WHO Collaborating Centre for Gonorrhoea and other STIs, Department of Laboratory Medicine, Microbiology, Faculty of Medicine and Health, Örebro University, Örebro, Sweden
authors.forename: Magnus
authors.initials: M
authors.lastname: Unemo
mesh_terms: D003072:Cognition Disorders / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D009494:Neurosyphilis / Q000150:complications* / Q000175:diagnosis*; D010292:Paresthesia / Q000175:diagnosis* / Q000209:etiology*