Question
A patient presents with mental confusion, visual and auditory hallucinations, perceived changes of body shape, swelling of the tongue and a fear of impending death after he was treated for primary chancre of syphilis with an intramuscular injection. What is the likely diagnosis?
A. Jarisch-Herxheimer Reaction
B. Hoigne Syndrome
C. Undiagnosed Psychosis
D. Schizophrenia
Show Answer
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Correct Answer » B
Explanation
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-Hoigne’s syndrome is a pseudoanaphylactic or pseudoallergic reaction that occurs after the intramuscular administration of Penicillin G procaine or benzathine. These are usually embolic toxic reactions possibly due to vascular occlusion by large crystals of the Penicillin salts. It is not due to Penicillin allergy
-Acute psychotic symptoms due to a pseudoanaphylactic or pseudoallergic reaction that occurs after the intramuscular administration of Penicillin G procaine or benzathine.
-The patient presents with mental confusion, visual and auditory hallucinations, perceived changes of body shape, swelling of the tongue and a fear of impending death.
