| CASE REPORT |
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| Year : 2020 | Volume
: 18
| Issue : 4 | Page : 326-328 |
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Beneath a behavioral change
Inês Ferreira Santos1, Pedro Joel Xavier Vasconcelos2, Rita Alexandra Bernardino Figueiredo1
1 Family Health Unit Viseu-Cidade, Viseu Health Center I, Viseu, Portugal
2 Primary Care Health Centre São Pedro do Sul, Viseu, Portugal
Correspondence Address:
Dr. Inês Ferreira Santos
Rua Do Navio Nr 50 Cabanões, 3500-885 Viseu
Portugal
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/cmi.cmi_79_20
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When approaching symptoms suggestive of cognitive decline or dementia, it is important to rule out possible conditions that can lead to the emergence of psychological/behavioral changes. Herein, we present the case of a 69-year-old male, whose wife complained of sudden behavior and memory changes. He was diagnosed with syphilis and treated with three doses of penicillin. We report this case to highlight the importance of considering syphilis in the differential diagnosis of a fast onset cognitive decline. It also demonstrates the value of family physician proximity to the different members of a family, often a determining factor in establishing a diagnostic hypothesis, especially when complaints are not spontaneously exposed by the patient.
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