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題名 | 精神病症狀表現的神經性梅毒之病例報告=Neurosyphilis with Psychotic Symptoms: A Case Report |
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作 者 | 趙建剛; 吳承江; 林玉財; | 書刊名 | 國防醫學 |
卷期 | 30:2 2000.02[民89.02] |
頁次 | 頁168-172 |
分類號 | 415.2752 |
關鍵詞 | 神經性梅毒; 精神病症狀; Neurosyphilis; Psychotic symptoms; |
語文 | 中文(Chinese) |
中文摘要 | 現今我們注意的焦點皆在愛滋病於性病中所扮演的角色時,卻忽略了此古老的性病:梅毒。今醫學發達之際,仍有神經性梅毒之發生,本文特提出一以明顯精神症狀表現的個案。病例報告,此位五十三歲女性,因有明顯之自我照顧能力變差、怪異行為、自言自語、認為鄰局在評論她的是非及記憶力變差、在經歷過各式醫療,才證實為一神經性梅毒。雖經過盤尼西林(aqueous penicillin)及抗精神病藥物治療,但個案仍持續有智能及記憶能力之衰退。 結論;神經性梅毒在現今之社會已非常少見,在臨床上我們仍須保持警覺,以期早期診斷、治療及後續之追蹤治療,確保病患獲得完整之醫療,減少進一層之傷害。 |
英文摘要 | Objective:AIDS in one of the most commonly discussed sexually-transmitted diseases now. However, one of the important classic sexually-transmitted diseases, syphilis, is frequently neglected. Neurosyphilis still happens in nowadays although medicine is so advance. Herein we reported a patient with neurosyphilis presented mainly with psychotic symptoms. Case report: A 53-year old married female were suffering from marked decline in self-care, bizarre behavior, self-talking, delusion of reference and memory impairment. She had received many examinations and treatments before the diagnosis of neurosyphilis was made. Although she had received standard aqueous penicillin and antipsychotic treatment, symptoms of poorly intellectral function and impaired memory were persisted. Conclusion: Neurosyphilis is a less common disease in today's clinical practice. We must still keep our awareness about this illness in order to make early diagnosis and treatment. A complete medical care, long-term follow up and treatment crucial for the reduction of further morbidity. |
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