de Goffau Maaike J, Doelman Jan C, van Rijswijk Jeroen B
Department of Otorhinolaryngology, Head & Neck Surgery, Erasmus Medical Center Rotterdam, Rotterdam;
Department of Neurology, Admiral de Ruyter Hospital, Goes;
Clin Pract. 2011 Dec 2;1(4):e133. doi: 10.4081/cp.2011.e133. eCollection 2011 Sep 28.
The differential diagnosis of sudden hearing loss is very extensive. However, in most patients, no underlying pathology will be found and the patient is consequently diagnosed with idiopathic sudden hearing loss. Nevertheless, it is important that one stays alert in everyday routine practice to less common but potentially treatable pathology. We report a case of a 53-year old patient with sudden unilateral hearing loss and tinnitus caused by otosyphilis. Diagnosis, therapy and the incidence of (oto)syphilis are discussed. Also, as ENT-surgeons, it is important to realise that syphilis is still with us, and that its prevalence might well increase in the near future.
突发性听力损失的鉴别诊断范围非常广泛。然而，在大多数患者中，找不到潜在的病理原因，因此患者被诊断为特发性突发性听力损失。尽管如此，在日常临床实践中保持警惕，关注不太常见但可能可治疗的病理情况很重要。我们报告一例53岁患者，因耳梅毒导致突发性单侧听力损失和耳鸣。文中讨论了耳梅毒的诊断、治疗及发病率。此外，作为耳鼻喉科医生，认识到梅毒仍然存在且其患病率在不久的将来很可能会上升很重要。
