Feldmann H
Laryngol Rhinol Otol (Stuttg). 1986 Jan;65(1):16-20.
Acute hearing loss in an early stage of syphilis was frequently seen in the 19th century, but is very rare nowadays. One historical and one recent case of untreated syphilis are reported. Based on studies of the diary of the Czech composer Fr. Smetana the history of his disease is presented. Following an angina, which had lasted for several weeks, a profuse exanthema developed about 16 weeks after the primary infection. Two weeks later ear symptoms with hearing disorder, tinnitus and vertigo began, resulting in total bilateral deafness after some weeks. Exitus 10 years later by taboparalysis. The recent case is a 25 year old male subject. Also following a longstanding angina a profuse exanthema appeared about 8 weeks after the primary infection. Ear symptoms, hearing disorder and tinnitus in one ear, developed one week after onset of the exanthema. By immediate specific treatment a fateful cours like that of Smetana's could be prevented.
在19世纪，梅毒早期出现急性听力损失的情况屡见不鲜，但如今已极为罕见。本文报告了一例历史病例和一例近期未经治疗的梅毒病例。基于对捷克作曲家弗·斯美塔那日记的研究，呈现了他的病史。在持续数周的心绞痛之后，初次感染约16周后出现了大量皮疹。两周后开始出现耳部症状，伴有听力障碍、耳鸣和眩晕，数周后导致双侧全聋。10年后因脊髓痨麻痹而死亡。近期病例是一名25岁男性。同样在长期心绞痛之后，初次感染约8周后出现大量皮疹。皮疹出现一周后，一只耳朵出现耳部症状、听力障碍和耳鸣。通过立即进行特效治疗，可避免像斯美塔那那样的悲惨病程。
