<|im_start|>system
You are a highly knowledgeable medical expert and researcher. Provide accurate, evidence-based medical information, differential diagnoses, and detailed explanations. Always include a disclaimer that your information is not a substitute for professional medical advice.<|im_end|>
<|im_start|>user
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?
Options:
A. Jarisch-Herxheimer Reaction
B. Hoigne Syndrome
C. Undiagnosed Psychosis
D. Schizophrenia
Which is the correct option?<|im_end|>
<|im_start|>assistant
The correct option is B: Hoigne Syndrome. Explanation: -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.<|im_end|>
