Balkany T J, Dans P E
Arch Otolaryngol. 1978 Feb;104(2):66-8. doi: 10.1001/archotol.1978.00790020008002.
Although congenital syphilis is a well established cause of hearing loss, early acquired syphilis is frequently overlooked in the differential diagnosis of sensorineural deafness. This is due, in part, to a decrease in the incidence of syphilis and to the advent of penicillin in previous years which reduced this complication to a clinical rarity. However, with the increase in new cases of syphilis in the past decade, early acquired syphilitic deafness is being seen with increasing frequency. Along with it is the syndrome of early syphilitic meningitis with sudden sensorineural deafness. This potentially reversible condition should be considered in sexually active patients in whom sudden deafness develops. Early diagnosis and treatment are essential for maximum recovery of hearing.
虽然先天性梅毒是导致听力损失的一个公认原因，但早期获得性梅毒在感音神经性耳聋的鉴别诊断中常被忽视。部分原因是梅毒发病率下降以及前些年青霉素的出现，使这种并发症在临床上变得罕见。然而，在过去十年中，随着梅毒新病例的增加，早期获得性梅毒性耳聋的出现频率越来越高。与之相伴的是早期梅毒性脑膜炎伴突发感音神经性耳聋综合征。对于出现突发性耳聋的性活跃患者，应考虑这种可能可逆的病症。早期诊断和治疗对于听力的最大程度恢复至关重要。
