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CASE REPORT
Year : 2020  |  Volume : 18  |  Issue : 4  |  Page : 326-328

Beneath a behavioral change


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
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Source of Support: None, Conflict of Interest: None


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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