COGNITIVE IMPAIRMENT AND MENTAL DISORDERS IN HIV-INFECTED PATIENTS WITH EARLY STAGES OF SYPHILIS

Authors

  • Egor M. Chumakov St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation

DOI:

https://doi.org/10.21638/11701/spbu11.2017.307

Abstract

The objective of the study was to determine the correlations between cognitive impairment in HIVinfected patients with early syphilis and mental disorders. 65 HIV-infected patients with early syphilis were examined by a clinical method and BNCE test. We revealed a high incidence of addictions (46.2 %). Cognitive impairment was found in 43.1 % of patients and was characterized by mild cognitive disorders. The severity of cognitive impairment was linked to hepatitis C co-infection (R = –0.38, p = 0.003), substance abuse (R = –0.39, p = 0.002) and intravenous drug use (R = –0.51, p < 0.0001). Cognitive impairment was associated with mental disorders due to brain damage (R = –0.93; p < 0.0001), dependence on stimulants (R = –0.69; p =0.014), opiate dependence (R = –0.48; p < 0.001), and dependence on alcohol (R = –0.28; p = 0.037). Refs 15. Tables 2.

Keywords:

cognitive impairment, mental disorders, HIV, syphilis, neurosyphilis

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References


References

Beliakov N. A., Medvedev S. V., Trofimova T. N., Rassokhin V. V., Dement’eva N. E., Shelomov S. A. Mekhanizmy porazheniia golovnogo mozga pri VICh-infektsii [Mechanisms of brain damage in HIV infection].Vestnik Rossiiskoi akademii meditsinskikh nauk [Annals of the Russian academy of medical sciences],2012, no. 9, pp. 4–12. (In Russian)

Grovit-Ferbas K., Harris-White M. E. Thinking about HIV: the intersection of virus, neuroinflammation and cognitive dysfunction. Immunol. Res., 2010, vol. 48, no. 1–3, pp. 40–58.

Antinori A., Arendt G., Becker J. T., Brew B. J., Byrd D. A., Cherner M., Clifford D. B., Cinque P., Epstein L. G., Goodkin K., Gisslen M., Grant I., Heaton R. K., Joseph J., Marder K., Marra C. M., McArthur J. C.,Nunn M., Price R. W., Pulliam L., Robertson K. R., Sacktor N., Valcour V., Wojna V. E. Updated research nosology for HIV-associated neurocognitive disorders. Neurology, 2007, vol. 69, no. 18, pp. 1789–1799.

Letendre S. L., Ellis R. J., Ances B. M., Mc-Cutchan J. A. Neurologic complications of HIV disease and their treatment. Top HIV Med., 2010, vol. 18, pp. 45–55.

Janssen M. A. M., Bosch M., Koopmans P. P., Kessels R. P. C. Validity of the Montreal Cognitive Assessment and the HIV Dementia Scale in the assessment of cognitive impairment in HIV-1 infected patients.J. Neurovirol., 2015, vol. 21, pp. 383–390.

Komkina N. G., Nazarenko N. V., Prokhozhev A. Iu., Metal’nikova O. P., Nazarenko T. V. Rannii manifestnyi neirosifilis kak prichina smerti [Early manifest neurosyphilis as the cause of death]. Fundamental’nye issledovaniia [Fundamental research], 2011, no. 10, pp. 86–90. (In Russian)

Friedrich F., Geusau A., Greisenegger S., Ossege M., Aigner M. Manifest psychosis in neurosyphilis.Gen. Hosp. Psychiatry, 2009, vol. 31, no. 4, pp. 379–381.

Luise C., Blank S., Brown J., Rubin S., Meyers A., Neylans L., Paz-Bailey G., Markowitz L. Primary

and secondary syphilis among men who have sex with men — New York City, 2001. Arch. Dermatol., 2002,vol. 138, pp. 1625–1626.

Solomon M. M., Mayer K. H., Glidden D. V., Liu A. Y., McMahan V. M., Guanira J. V., Chariyalertsak

S., Fernandez T., Grant R. M. Syphilis predicts hiv incidence among men and transgender women who have sex with men in a preexposure prophylaxis trial. CID, 2014, vol. 59, pp. 1020–1026.

Chang W.-T., Hsieh T.-T., Wu Y.-H. Malignant syphilis in human immunodeficiency virus-infected patients. Dermatologica Sinica, 2015, vol. 33, pp. 21–25.

Nakasujja N., Allebeck P., Agren H., Musisi S., Katabira E. Cognitive dysfunction among HIV positive and HIV negative patients with psychosis in Uganda. PLoS ONE, 2012, vol. 7, issue 9. Available at: http:// dx.doi.org/10.1371/journal.pone.0044415 (accessed: 07.08.2016).

Sassoon S. A., Rosenbloom M. J., Fama R., Sullivan E. V., Pfefferbaum A. Selective neurocognitive

deficits and poor life functioning are associated with significant depressive symptoms in alcoholism-HIV infection comorbidity. Psychiat. Res., 2012, vol. 199, no. 2, pp. 102–110.

Vance D. E. The cognitive consequences of stigma, social withdrawal, and depression in adults aging with HIV. J. Psychosoc. Nurs. Ment. Hlth. Serv., 2013, vol. 51, no. 15, pp. 18–20.

Marra C. M., Deutsch R., Collier A. C., Morgello S., Letendre S., Clifford D., Gelman B., McArthur J., McCutchan J. A., Simpson D. M., Duarte N. A., Heaton R. K., Grant I. Neurocognitive impairment in HIVinfected individuals with previous syphilis. Int. J. STD AIDS, 2013, vol. 24, no. 5, pp. 351–355.

Tonkonogii I. M. Kratkoe neiropsikhologicheskoe obsledovanie kognitivnoi sfery (KNOKS). [Brief Neuropsychological Cognitive Examination (BNCE)]. Ed. by Yu. V. Mikadze. Moscow, PER SE Publ., 2010, 69 p.(In Russian)

Published

2017-09-01

How to Cite

Chumakov, E. M. (2017). COGNITIVE IMPAIRMENT AND MENTAL DISORDERS IN HIV-INFECTED PATIENTS WITH EARLY STAGES OF SYPHILIS. Vestnik of Saint Petersburg University. Medicine, 12(3), 273–277. https://doi.org/10.21638/11701/spbu11.2017.307

Issue

Section

Neurology. Neurosurgery. Psychiatry