Abstract
Syphilis is a systemic disease and its presentations can be altered with wide use of antibiotics and HIV co-infection, particularly neurosyphilis. Involvement of eighth cranial nerve is recognized as a part of meningeal involvement as well as an isolated phenomenon. Isolated otosyphilis is potentially reversible with early antibiotic treatment. Clinician should suspect otosyphilis in the presence of vestibular cochlear involvement in patients with syphilis. The definite diagnosis of isolated otosyphilis is challenging and it should be made on the basis of a typical clinical presentation and positive serological test results for syphilis. Over diagnosis is justifiable as this is a potentially reversible cause of hearing loss with early treatment. Sri Lanka Journal of Sexual Health and HIV Medicine Vol.1 2015: 41-43
Highlights
Syphilis is a systemic disease and its presentations can be altered with wide use of antibiotics and in HIV co-infection; this is true in neurosyphilis
Central nervous system involvement can occur during any stage of syphilis, and cerebrospinal fluid (CSF) abnormalities are common with central nervous system (CNS) involvement (1)
As the incidence of neurosyphilis has continued to decline in the antibiotic era, atypical presentations have been noted
Summary
Syphilis is a systemic disease and its presentations can be altered with wide use of antibiotics and in HIV co-infection; this is true in neurosyphilis. Involvement of eighth cranial nerve is recognized as a part of meningeal involvement as well as an isolated phenomenon. Isolated otosyphilis is potentially reversible with early antibiotic treatment. Clinician should suspect otosyphilis in the presence of vestibular cochlear involvement in patients with syphilis
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