Sauvaget E, Tran Ba Huy P
Service ORL, Hôpital Lariboisière, Paris.
Rev Prat. 2000 Jan 15;50(2):150-5.
A large number of cases of deafness is due to infection. Both viral and bacterial agents can induce lesions of the middle ear, the inner ear and/or of the cochlear-vestibular nerve. The ear is reached through the Eustachian tube, the outer ear or the subarachnoid spaces. The characteristics of infection-induced hearing loss depend on the infectious agent and on the site of infection. We discuss successively the characteristics of deafness caused by infection of the middle ear, represented by acute and chronic otitis of common or mycobacterial origin, by infection of the inner ear with bacterial labyrinthitis and otosyphilis, and lastly, neurolabyrinthitis of viral origin or due to Lyme disease.
大量耳聋病例是由感染引起的。病毒和细菌病原体均可诱发中耳、内耳和/或蜗神经-前庭神经的病变。感染可通过咽鼓管、外耳道或蛛网膜下腔累及耳部。感染所致听力损失的特点取决于感染病原体和感染部位。我们将依次讨论由中耳感染引起的耳聋的特点,其代表为常见或分枝杆菌性起源的急慢性中耳炎,由细菌性迷路炎和耳梅毒引起的内耳感染,以及最后由病毒引起或由莱姆病导致的神经迷路炎。