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An old way of forgetting

Published online by Cambridge University Press:  01 September 2022

J.P. Rebeca Coelho
J.P. Rebeca Coelho*
Affiliation:
Centre Neuchâtelois de Psychiatrie, Cnpa1, Neuchâtel, Switzerland
*
*Corresponding author.

Abstract

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Introduction

During the last decades, the incidence of syphilis is on the rising, particularly in the United States of America and Europe. Neurosyphilis is a disease that has a vast differential diagnostic. With that in mind, clinicians have some difficulties to identify it rapidly. A case of a 57-year-old man is presented, with a brutal change in his behavior, associated with a dementia-like syndrome. He is diagnosed with neurosyphilis.

Objectives

The main goal is to present his clinical psychiatric symptoms and diagnosis procedure, the treatment that he received and his clinical outcome in the psychogeriatric department.

Methods

The treatment was based in an integrated framework of pharmacology and psychotherapy.

Results

The patient was able to slowly recover and to get back home, we a solid structure to make the follow up.

Conclusions

This clinical vignette represents a growing number of adult patients that present themselves for the first time with dementia-like symptoms. It is important to remember, that many diseases are capable of mimicking dementia and their exclusion before admitting a diagnosis of dementia is mandatory.

Disclosure

No significant relationships.

Keywords

SyphilisDementia
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S655
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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