Neurosyphilis in psychiatric practice: a case-based discussion of clinical evaluation and diagnosis

Abstract Objective Neurosyphilis can present with a wide range of neuropsychiatric symptoms. Hence, psychiatrists need to be familiar with tests for syphilis screening and how to interpret syphilis serologic tests. Methods We present four cases of patients with positive syphilis tests encountered in...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:General hospital psychiatry 2015-09, Vol.37 (5), p.459-463
Hauptverfasser: Gatchel, Jennifer, M.D., Ph.D, Legesse, Benalfew, M.D, Tayeb, Safwan, M.D, Murray, Evan, M.D, Price, Bruce, M.D
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 463
container_issue 5
container_start_page 459
container_title General hospital psychiatry
container_volume 37
creator Gatchel, Jennifer, M.D., Ph.D
Legesse, Benalfew, M.D
Tayeb, Safwan, M.D
Murray, Evan, M.D
Price, Bruce, M.D
description Abstract Objective Neurosyphilis can present with a wide range of neuropsychiatric symptoms. Hence, psychiatrists need to be familiar with tests for syphilis screening and how to interpret syphilis serologic tests. Methods We present four cases of patients with positive syphilis tests encountered in a psychiatric hospital. Results Two cases were treated for neurosyphilis, while the other two cases did not have active syphilis infection despite positive results. Conclusion We thus highlight the challenges encountered by psychiatrists in screening for and diagnosing cases of neurosyphilis.
doi_str_mv 10.1016/j.genhosppsych.2015.04.012
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1708902426</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0163834315000997</els_id><sourcerecordid>1708902426</sourcerecordid><originalsourceid>FETCH-LOGICAL-c505t-2dde00f1f5ee2567a7d387c8b67efa578990a1837930d8d33670bee485a3d853</originalsourceid><addsrcrecordid>eNqNkcFu1DAQhi0EotvCK6CIE5eEsR3HTg9IqEBBquBA75bXnnS9ZJPgSSrt2-OwLUKcuNiS9c0_nm8Ye82h4sCbt_vqDofdSNNER7-rBHBVQV0BF0_YhhstS615_ZRtMixLI2t5xs6J9gCghJLP2ZloQAhp6g3zX3FJIx2nXewjFXEofodGN6foiyk5P0ePl4UrvCMst_kIRYjkF6I4DsXYFb6PQ_SuL_De9Yub12c3rJS7G0aK9II961xP-PLhvmC3nz7eXn0ub75df7l6f1N6BWouRQgI0PFOIQrVaKeDNNqbbaOxc0qbtgXHjdSthGCClI2GLWJtlJPBKHnB3pxipzT-XJBme8j_xL53A44LWa7BtCBq0WT08oT6PDsl7OyU4sGlo-VgV8d2b_92bFfHFmqbHefiVw99lu0Bw5_SR6kZ-HACMA97HzFZ8hEHjyEm9LMNY_y_Pu_-iXk0_QOPSPtxSUPWabklYcF-X7e9LpurvOi21fIXarCq0Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1708902426</pqid></control><display><type>article</type><title>Neurosyphilis in psychiatric practice: a case-based discussion of clinical evaluation and diagnosis</title><source>MEDLINE</source><source>Access via ScienceDirect (Elsevier)</source><creator>Gatchel, Jennifer, M.D., Ph.D ; Legesse, Benalfew, M.D ; Tayeb, Safwan, M.D ; Murray, Evan, M.D ; Price, Bruce, M.D</creator><creatorcontrib>Gatchel, Jennifer, M.D., Ph.D ; Legesse, Benalfew, M.D ; Tayeb, Safwan, M.D ; Murray, Evan, M.D ; Price, Bruce, M.D</creatorcontrib><description>Abstract Objective Neurosyphilis can present with a wide range of neuropsychiatric symptoms. Hence, psychiatrists need to be familiar with tests for syphilis screening and how to interpret syphilis serologic tests. Methods We present four cases of patients with positive syphilis tests encountered in a psychiatric hospital. Results Two cases were treated for neurosyphilis, while the other two cases did not have active syphilis infection despite positive results. Conclusion We thus highlight the challenges encountered by psychiatrists in screening for and diagnosing cases of neurosyphilis.</description><identifier>ISSN: 0163-8343</identifier><identifier>EISSN: 1873-7714</identifier><identifier>DOI: 10.1016/j.genhosppsych.2015.04.012</identifier><identifier>PMID: 26022384</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged, 80 and over ; Algorithms ; Diagnosis, Differential ; Female ; Humans ; Male ; Middle Aged ; Neurosyphilis ; Neurosyphilis - diagnosis ; Psychiatry ; Psychotic disorder ; RPR ; Syphilis - diagnosis ; Syphilis Serodiagnosis ; Tabes dorsalis</subject><ispartof>General hospital psychiatry, 2015-09, Vol.37 (5), p.459-463</ispartof><rights>Elsevier Inc.</rights><rights>2015 Elsevier Inc.</rights><rights>Copyright © 2015 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c505t-2dde00f1f5ee2567a7d387c8b67efa578990a1837930d8d33670bee485a3d853</citedby><cites>FETCH-LOGICAL-c505t-2dde00f1f5ee2567a7d387c8b67efa578990a1837930d8d33670bee485a3d853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.genhosppsych.2015.04.012$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26022384$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gatchel, Jennifer, M.D., Ph.D</creatorcontrib><creatorcontrib>Legesse, Benalfew, M.D</creatorcontrib><creatorcontrib>Tayeb, Safwan, M.D</creatorcontrib><creatorcontrib>Murray, Evan, M.D</creatorcontrib><creatorcontrib>Price, Bruce, M.D</creatorcontrib><title>Neurosyphilis in psychiatric practice: a case-based discussion of clinical evaluation and diagnosis</title><title>General hospital psychiatry</title><addtitle>Gen Hosp Psychiatry</addtitle><description>Abstract Objective Neurosyphilis can present with a wide range of neuropsychiatric symptoms. Hence, psychiatrists need to be familiar with tests for syphilis screening and how to interpret syphilis serologic tests. Methods We present four cases of patients with positive syphilis tests encountered in a psychiatric hospital. Results Two cases were treated for neurosyphilis, while the other two cases did not have active syphilis infection despite positive results. Conclusion We thus highlight the challenges encountered by psychiatrists in screening for and diagnosing cases of neurosyphilis.</description><subject>Adult</subject><subject>Aged, 80 and over</subject><subject>Algorithms</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neurosyphilis</subject><subject>Neurosyphilis - diagnosis</subject><subject>Psychiatry</subject><subject>Psychotic disorder</subject><subject>RPR</subject><subject>Syphilis - diagnosis</subject><subject>Syphilis Serodiagnosis</subject><subject>Tabes dorsalis</subject><issn>0163-8343</issn><issn>1873-7714</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFu1DAQhi0EotvCK6CIE5eEsR3HTg9IqEBBquBA75bXnnS9ZJPgSSrt2-OwLUKcuNiS9c0_nm8Ye82h4sCbt_vqDofdSNNER7-rBHBVQV0BF0_YhhstS615_ZRtMixLI2t5xs6J9gCghJLP2ZloQAhp6g3zX3FJIx2nXewjFXEofodGN6foiyk5P0ePl4UrvCMst_kIRYjkF6I4DsXYFb6PQ_SuL_De9Yub12c3rJS7G0aK9II961xP-PLhvmC3nz7eXn0ub75df7l6f1N6BWouRQgI0PFOIQrVaKeDNNqbbaOxc0qbtgXHjdSthGCClI2GLWJtlJPBKHnB3pxipzT-XJBme8j_xL53A44LWa7BtCBq0WT08oT6PDsl7OyU4sGlo-VgV8d2b_92bFfHFmqbHefiVw99lu0Bw5_SR6kZ-HACMA97HzFZ8hEHjyEm9LMNY_y_Pu_-iXk0_QOPSPtxSUPWabklYcF-X7e9LpurvOi21fIXarCq0Q</recordid><startdate>20150901</startdate><enddate>20150901</enddate><creator>Gatchel, Jennifer, M.D., Ph.D</creator><creator>Legesse, Benalfew, M.D</creator><creator>Tayeb, Safwan, M.D</creator><creator>Murray, Evan, M.D</creator><creator>Price, Bruce, M.D</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20150901</creationdate><title>Neurosyphilis in psychiatric practice: a case-based discussion of clinical evaluation and diagnosis</title><author>Gatchel, Jennifer, M.D., Ph.D ; Legesse, Benalfew, M.D ; Tayeb, Safwan, M.D ; Murray, Evan, M.D ; Price, Bruce, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c505t-2dde00f1f5ee2567a7d387c8b67efa578990a1837930d8d33670bee485a3d853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Aged, 80 and over</topic><topic>Algorithms</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neurosyphilis</topic><topic>Neurosyphilis - diagnosis</topic><topic>Psychiatry</topic><topic>Psychotic disorder</topic><topic>RPR</topic><topic>Syphilis - diagnosis</topic><topic>Syphilis Serodiagnosis</topic><topic>Tabes dorsalis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gatchel, Jennifer, M.D., Ph.D</creatorcontrib><creatorcontrib>Legesse, Benalfew, M.D</creatorcontrib><creatorcontrib>Tayeb, Safwan, M.D</creatorcontrib><creatorcontrib>Murray, Evan, M.D</creatorcontrib><creatorcontrib>Price, Bruce, M.D</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>General hospital psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gatchel, Jennifer, M.D., Ph.D</au><au>Legesse, Benalfew, M.D</au><au>Tayeb, Safwan, M.D</au><au>Murray, Evan, M.D</au><au>Price, Bruce, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurosyphilis in psychiatric practice: a case-based discussion of clinical evaluation and diagnosis</atitle><jtitle>General hospital psychiatry</jtitle><addtitle>Gen Hosp Psychiatry</addtitle><date>2015-09-01</date><risdate>2015</risdate><volume>37</volume><issue>5</issue><spage>459</spage><epage>463</epage><pages>459-463</pages><issn>0163-8343</issn><eissn>1873-7714</eissn><abstract>Abstract Objective Neurosyphilis can present with a wide range of neuropsychiatric symptoms. Hence, psychiatrists need to be familiar with tests for syphilis screening and how to interpret syphilis serologic tests. Methods We present four cases of patients with positive syphilis tests encountered in a psychiatric hospital. Results Two cases were treated for neurosyphilis, while the other two cases did not have active syphilis infection despite positive results. Conclusion We thus highlight the challenges encountered by psychiatrists in screening for and diagnosing cases of neurosyphilis.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26022384</pmid><doi>10.1016/j.genhosppsych.2015.04.012</doi><tpages>5</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0163-8343
ispartof General hospital psychiatry, 2015-09, Vol.37 (5), p.459-463
issn 0163-8343
1873-7714
language eng
recordid cdi_proquest_miscellaneous_1708902426
source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Aged, 80 and over
Algorithms
Diagnosis, Differential
Female
Humans
Male
Middle Aged
Neurosyphilis
Neurosyphilis - diagnosis
Psychiatry
Psychotic disorder
RPR
Syphilis - diagnosis
Syphilis Serodiagnosis
Tabes dorsalis
title Neurosyphilis in psychiatric practice: a case-based discussion of clinical evaluation and diagnosis
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T09%3A26%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Neurosyphilis%20in%20psychiatric%20practice:%20a%20case-based%20discussion%20of%20clinical%20evaluation%20and%20diagnosis&rft.jtitle=General%20hospital%20psychiatry&rft.au=Gatchel,%20Jennifer,%20M.D.,%20Ph.D&rft.date=2015-09-01&rft.volume=37&rft.issue=5&rft.spage=459&rft.epage=463&rft.pages=459-463&rft.issn=0163-8343&rft.eissn=1873-7714&rft_id=info:doi/10.1016/j.genhosppsych.2015.04.012&rft_dat=%3Cproquest_cross%3E1708902426%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1708902426&rft_id=info:pmid/26022384&rft_els_id=S0163834315000997&rfr_iscdi=true