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A Patient With Neurosyphilis Presenting As Chorea, Alison Jones, I.A.D Bouchier
A Patient With Neurosyphilis Presenting As Chorea, Alison Jones, I.A.D Bouchier
Alison L Jones
Despite the marked decline infrequency of neurosyphilis over the past three decades in the United Kingdom, new cases continue to appear both sporadically and as a complication of HIV infection. There is clinical evidence that neurosyphilis is becoming less typical. We describe a case of neurosyphilis presenting predominantly with choreoathetosis and associated hemiparesis in an otherwise healthy, immunocompetent patient. Only six cases of neurosyphilis presenting with features of basal ganglia damage have been reported in the recent literature, five of whom had HIV infection.
Pitfalls In The Management Of The Poisoned Patient, Mary Kerins, Paul Dargan, Alison Jones
Pitfalls In The Management Of The Poisoned Patient, Mary Kerins, Paul Dargan, Alison Jones
Alison L Jones
Acute poisoning is a common problem worldwide. In the United Kingdom (UK) it accounts for an estimated 10–20% of acute medical admissions and 5–10% of the workload of Accident and Emergency (A&E) departments.1–4 Episodes of self-poisoning in the UK continue to rise, with the rates being among the highest in Europe.5–7 The severity of poisoning has decreased over the past decade with the introduction of safer drugs, such as the selective serotonin reuptake inhibitors, but the total number of deaths from poisoning in the UK remains unchanged at more than 3,000 per year.2 This paper will address common pitfalls in …