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Psychosis in treated neurosyphilis: Is now the time to stop his antipsychotic?

Current Psychiatry. 2016 August;15(8):50-52,57-59
Author and Disclosure Information

Mr. C, age 61, has a history of auditory and visual hallucinations and depression. Syphilis was diagnosed 13 years ago and treated with IV penicillin for 2 weeks. How would you approach his care?


Related Resources
  • Centers for Disease Control and Prevention. Syphilis—STD fact sheet. https://www.cdc.gov/std/syphilis/stdfact-syphilis.htm.
  • Drago F, Merlo G, Ciccarese G, et al. Changes in neurosyphilis presentation: a survey on 286 patients [published online June 15, 2016]. J Eur Acad Dermatol Venereol. doi: 10.1111/jdv.13753.


Drug Brand Names
Chlorpromazine • Thorazine
Haloperidol • Haldol
Penicillin G benzathine • Bicillin


Disclosures

The authors report no financial relationship with any company whose products are mentioned in this article or with manufacturers of competing products.