Hostname: page-component-cd9895bd7-8ctnn Total loading time: 0 Render date: 2024-12-25T07:42:11.724Z Has data issue: false hasContentIssue false

Neurosyphilis and Schizophrenia

Published online by Cambridge University Press:  02 January 2018

Kandiah Sivakumar*
Affiliation:
Maidstone Hospital Psychiatric Wing, Hermitage Lane, Maidstone, Kent ME16 9QQ
Chike I. Okocha
Affiliation:
Maidstone Hospital Psychiatric Wing, Maidstone, Kent
*
Correspondence

Abstract

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.

Type
Brief Reports
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Brooke, D., Jamie, P., Slack, R., et al (1987) Neurosyphilis: a treatable psychosis. British Journal of Psychiatry, 151, 556.CrossRefGoogle ScholarPubMed
Bruetsch, W. (1975) American Handbook of Psychiatry, Vol. 4. New York: Basic Books.Google Scholar
Dewhurst, K. (1969) The neurosyphilitic psychosis today: a survey of 91 cases. British Journal of Psychiatry, 115, 3138.CrossRefGoogle Scholar
Froshaug, H. & Ytreus, A. (1956) A study of general paresis with special reference to the reasons for admission of these patients to hospital. Acta Psychiatrica et Neurologica Scandinavica, 31, 3560.CrossRefGoogle Scholar
Kellam, A. M. P. (1987) The neuroleptic malignant syndrome, so-called. British Journal of Psychiatry, 150, 752759.CrossRefGoogle Scholar
Lishman, A. (1987) Organic Psychiatry. Oxford: Blackwell.Google Scholar
Nelson, H. E. (1976) A modified card sorting test sensitive to frontal lobe deficits. Cortex, 12, 313324.CrossRefGoogle Scholar
O'Neil, T. & McCaffrey, B. (1989) Further support from an Irish Psychiatric Hospital for lack of value of routine serological tests for syphilis. Irish Journal of Psychological Medicine, 6, 142.CrossRefGoogle Scholar
Rigby, J. C. & Oswald, A. G. (1987) An evaluation of the performing and recording of physical examinations by psychiatric trainees. British Journal of Psychiatry, 150, 533536.CrossRefGoogle ScholarPubMed
Sharrar, R. G. & Goldberg, M. (1988) Continuing increase in infectious syphilis. Journal of the American Medical Association, 259, 975977.Google Scholar
Sirota, P., Eviatar, J. & Spivak, B. (1989) Neurosyphilis presenting as psychiatric disorders. British Journal of Psychiatry, 155, 559561.CrossRefGoogle ScholarPubMed
Wechsler, D. (1981) Wechsler Adult Intelligence Scale – Revised. New York: Psychological Corporation.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.