Misdiagnosed neurosyphilis associated with prolonged psychosis.

OBJECTIVE

After the prevalence of syphilis had reached historic lows, the Center for Disease Control devised a plan to eradicate syphilis in the United States. Since that decree there has been a dramatic rise in new cases. Psychosis is an ominous symptom of neurosyphilis.

METHODS

We report a case of neurosyphilis that was misdiagnosed and staged incorrectly.

RESULTS

Failure to diagnose neurosyphilis was associated with prolonged psychosis that has been refractory to antipsychotic treatment.

CONCLUSION

Psychiatrists should renew their vigilance for neurosyphilis in the setting of a positive screening test and psychosis.