PDF(Pubmed)
Abstract：
Neurosyphilis is a rare disease now, given the availability of antibiotics to treat syphilis. Patients with neurosyphilis could present with psychiatric symptoms. We present a rare case of neurosyphilis with only psychiatric symptoms. The patient was a 49-year-old male who presented with self-neglect and was not interacting with others. Treponema antibodies were positive, and rapid plasma reagin (RPR) was 1:512 with a positive venereal disease research laboratory test (VDRL) in the cerebrospinal fluid. The patient was treated with an IV penicillin regimen for neurosyphilis and improved remarkably with a return to baseline on follow-up.
摘要：
神经梅毒现在是一种罕见的疾病，考虑到抗生素治疗梅毒的有效性。神经梅毒患者可出现精神症状。我们介绍了仅有精神症状的罕见神经梅毒病例。患者是一名49岁的男性，表现出自我忽视，没有与他人互动。密螺旋体抗体阳性，快速血浆反应蛋白（RPR）为1：512，脑脊液中性病研究实验室测试（VDRL）阳性。该患者接受了IV青霉素治疗神经梅毒的方案，并在随访时恢复到基线，明显改善。
