Washington State University, Spokane.
Department of Neurology, University of Washington, Seattle, WA.
Sex Transm Dis. 2020 May;47(5):296-300. doi: 10.1097/OLQ.0000000000001155.
The number of cases of syphilis has increased in the United States and in many high-income nations. Otosyphilis is a less recognized complication of syphilis that can lead to irreversible sensorineural hearing loss. Different pathophysiological mechanisms have been proposed to explain hearing loss in otosyphilis. We review the literature on otosyphilis in adults and propose the need for future work in this field to identify better ways to diagnose, treat, and manage this disease. Patients with syphilis should be screened routinely for hearing loss, and all patients with new, sudden, or fluctuating sensorineural hearing loss should be evaluated for syphilis.
梅毒病例在美国和许多高收入国家都有所增加。耳梅毒是梅毒较不被识别的并发症，可导致不可逆转的感音神经性听力损失。已经提出了不同的病理生理机制来解释耳梅毒中的听力损失。我们回顾了成人耳梅毒的文献，并提出需要在这一领域开展未来的工作，以确定更好的方法来诊断、治疗和管理这种疾病。患有梅毒的患者应常规筛查听力损失，所有患有新发、突发性或波动性感音神经性听力损失的患者均应评估是否患有梅毒。
