Document Detail

Neurosyphilis in newly admitted psychiatric patients: three case reports.
MedLine Citation:
PMID:  15291680     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Neurosyphilis, also known as "general paresis of the insane," at one time accounted for a large portion of admissions to state psychiatric facilities. With the introduction of antibiotics, neurosyphilis is now considered very rare. METHOD: Chart review was performed on patients diagnosed with neurosyphilis who were admitted to a state psychiatric hospital in Raleigh, N.C., during 2002. RESULTS: We identified 3 cases of confirmed neurosyphilis, representing 0.1% of adult admissions, diagnosed in newly admitted psychiatric patients. None of the patients were immunocompromised. Response to antibiotic treatment was poor. CONCLUSIONS: Given the increase in primary and secondary syphilis reported in the 1980s and early 1990s, routine screening of psychiatric patients for the presence of syphilis should be considered.
Susan Saik; John E Kraus; Alex McDonald; Scott G Mann; Brian B Sheitman
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of clinical psychiatry     Volume:  65     ISSN:  0160-6689     ISO Abbreviation:  J Clin Psychiatry     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-08-04     Completed Date:  2004-09-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7801243     Medline TA:  J Clin Psychiatry     Country:  United States    
Other Details:
Languages:  eng     Pagination:  919-21     Citation Subset:  IM    
Department of Internal Medicine, University of North Carolina, Chapel Hill, USA.
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MeSH Terms
Hospitals, Psychiatric / statistics & numerical data
Informed Consent
Mass Screening / methods
Mental Competency
Mental Disorders / diagnosis,  epidemiology*,  psychology
Middle Aged
Neurosyphilis / diagnosis,  epidemiology*,  psychology
North Carolina / epidemiology
Spinal Puncture

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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