Song Jae Jun, Lee Heung-Man, Chae Sung Won, Hwang Soon Jae
Department of Otorhinolaryngology and Head and Neck Surgery, Korea University College of Medicine Guro Hospital, Seoul.
Eur Arch Otorhinolaryngol. 2005 Dec;262(12):972-4. doi: 10.1007/s00405-005-0934-1. Epub 2005 Jun 21.
Otosyphilis is a rare but important cause of sensorineural hearing loss and dizziness, because this hearing loss can be reversed by early diagnosis and aggressive treatment. Moreover, HIV may alter the course of otosyphilis and hasten the development of otosyphilis by reducing host cellular immunity. We report the case of a 35-year-old HIV-infected patient with bilateral fluctuating sensorineural hearing loss and bilateral total vestibular loss caused by otosyphilis. We include a discussion of the relationship between otosyphilis and HIV infection.
耳梅毒是感音神经性听力损失和头晕的一种罕见但重要的病因，因为这种听力损失可通过早期诊断和积极治疗得以逆转。此外，HIV可能会改变耳梅毒的病程，并通过降低宿主细胞免疫力加速耳梅毒的发展。我们报告一例35岁的HIV感染患者，其因耳梅毒导致双侧波动性感音神经性听力损失和双侧完全性前庭功能丧失。我们还讨论了耳梅毒与HIV感染之间的关系。
