Indian Journal of PsychiatryIndian Journal of Psychiatry
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CASE REPORT
Year : 2019  |  Volume : 61  |  Issue : 2  |  Page : 213-216

Schizophrenia-like psychosis as the presenting feature of neurosyphilis in a non-human immunodeficiency virus-infected Indian man: A reminder of a forgotten complication!


1 Department of Psychiatry, Calcutta National Medical College, Kolkata, West Bengal, India
2 Department of Psychiatry, Medical College Kolkata, Kolkata, West Bengal, India
3 Department of Dermatology, Venereology and Leprosy, R. G. Kar Medical College, Kolkata, West Bengal, India
4 Department of Neurology, N.R.S. Medical College, Kolkata, West Bengal, India

Correspondence Address:
Dr. Sharmila Sarkar
Department of Psychiatry, Calcutta National Medical College, 72, Gorachand Road, Kolkata - 700 014, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/psychiatry.IndianJPsychiatry_330_18

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Syphilis is a great masquerader of several diseases. About 4%–10% of patients with untreated syphilis may develop neurosyphilis (NS). Psychiatric manifestations may rarely be the presenting feature of NS. We describe herein a case of an elderly man who presented with psychosis and after thorough workup was diagnosed to be a case of a NS. Schizophrenia-like psychosis as the presenting and the only manifested feature of NS in a nonhuman immunodeficiency virus-infected patient was a unusual and noteworthy feature in the present case.



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