HCMCA 31-year-old man who had had sex with the same sex, suddenly hearing loss in both ears, dizziness, tinnitus.
An ear, nose and throat specialist diagnoses a patient with sudden deafness of unknown cause. Blood cell analysis, blood biochemistry, carotid artery doppler ultrasound, nose sinus endoscopy, nasopharynx, cranial MRI were not found to be abnormal. HIV positive patient.
Taking medicine a week still does not improve hearing, patients come to the Hospital of Dermatology in Ho Chi Minh City. Doctor Lam Pham Phuoc Hung, on December 25, said that the patient did not show syphilis in the skin. Test results, puncture of cerebrospinal fluid recorded spirochetes of Treponema pallidum causing ear syphilis, nerve syphilis.
After 6 months of treatment, the patient stopped dizziness, hearing recovered as usual.
“If not treated, the patient may not recover deaf. Early intervention, proper treatment, about 50% of cases improve with different degrees”, Dr. Hung shared.
The hearing loss characteristic of acquired ear syphilis (differentiated from congenital ear syphilis) often starts suddenly, on both sides and progresses gradually. The accompanying symptoms are tinnitus and dizziness.
According to Dr. Hung, very rare people have both types of syphilis in the ear and nerve. Doctors recommend that patients with sudden physical hearing loss should have a syphilis serum test to avoid omitting the cause of tracheobacteria Treponema pallidum.
The patient reported having sex with the same sex, but has not had sex for the past two years.
“The number of syphilis patients has increased rapidly around the world, mainly among men who have sex with men and people living with HIV,” said Dr. Hung.
In Vietnam, syphilis is one of the most common sexually transmitted diseases. The number of cases is increasing, so rare complications from syphilis like this patient reappear.
Syphilis caused by spirochete Treponema pallidum, treated with antibiotics. Without proper diagnosis and early treatment, syphilis causes complications for the heart, brain, aorta, and bones, some cases leading to death.