Neurosyphilis surge expected in the Top End

Dementia and stroke work-ups are uncovering undiagnosed disease

Doctors are being warned that a surge of Indigenous patients with undiagnosed neurosyphilis is likely in the Top End in coming years — a legacy of a long-running outbreak of Treponema pallidum infection.


Neurosyphilis is already considered a differential diagnosis for patients presenting with dementia or stroke in the NT, the Royal Australasian College of Physicians congress in Auckland was told this week.

It is noticeable that patients being worked up for dementia or stroke are returning more positive treponemal serology