RESUMO
A 66-year-old Caucasian man was admitted to an acute psychiatric ward under section 2 of the Mental Health Act after presenting with auditory hallucinations and partition delusions. He had been known to mental health services since 2005 but had never been treated with psychotropic medication or given a formal psychiatric diagnosis. He was also diagnosed with hypopituitarism of unknown aetiology in 2002. In light of this presentation, his medical history was reviewed in full, hormone levels and a full delirium screen including blood borne virus and syphilis serology was completed to ensure no organic cause had been missed. The treponemal antibody was positive, and he reported no previous syphilis treatment, as such a diagnosis of neurosyphilis was performed. This case demonstrates a patient presenting with two potential complications of syphilis; psychosis and hypopituitarism where screening for this infection had not been previously considered.
Assuntos
Hipopituitarismo/diagnóstico , Neurossífilis/complicações , Neurossífilis/diagnóstico , Sorodiagnóstico da Sífilis , Treponema pallidum/isolamento & purificação , Idoso , Androgênios/uso terapêutico , Antibacterianos/uso terapêutico , Antipsicóticos/uso terapêutico , Delusões/microbiologia , Quimioterapia Combinada , Alucinações/microbiologia , Humanos , Hipopituitarismo/tratamento farmacológico , Hipopituitarismo/microbiologia , Masculino , Neurossífilis/sangue , Neurossífilis/tratamento farmacológico , Unidade Hospitalar de Psiquiatria , Transtornos Psicóticos/microbiologia , Sorodiagnóstico da Sífilis/métodos , Resultado do Tratamento , Treponema pallidum/imunologiaRESUMO
The occurrence of psychiatric symptoms in scrub typhus is not commonly reported in literature. We present a case of scrub typhus with visual hallucinations.
