Cochleovestibular Deficit as First Manifestation of Syphilis in a HIV-Infected Patient

We report the detailed documented case of a 57-year-old homosexual HIV-positive man with bilateral cochleovestibular deficits as a first symptom of syphilis infection in early stage II disease. As a morphological substrate, a strong enhancement of both inner ears and vestibulocochlear nerves were fo...

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Autores principales: Weder, Stefan, Senn, Pascal, Caversaccio, Marco, Vibert, Dominique
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2013
Materias:
Published online: March, 2013
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3635683/
https://www.ncbi.nlm.nih.gov/pubmed/23626567
http://dx.doi.org/10.1159/000350574
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author Weder, Stefan
Senn, Pascal
Caversaccio, Marco
Vibert, Dominique
author_facet Weder, Stefan
Senn, Pascal
Caversaccio, Marco
Vibert, Dominique
author_sort Weder, Stefan
collection PubMed
description We report the detailed documented case of a 57-year-old homosexual HIV-positive man with bilateral cochleovestibular deficits as a first symptom of syphilis infection in early stage II disease. As a morphological substrate, a strong enhancement of both inner ears and vestibulocochlear nerves were found on gadolinium-enhanced MR scans. The serological tests identified an active infection with Treponema pallidum. After a high-dose treatment with penicillin G and prednisolone, the auditory and vestibular functions and the MR morphology of the vestibulocochlear nerves and inner ears on both sides returned to normal.
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spelling pubmed-36356832013-04-26 Cochleovestibular Deficit as First Manifestation of Syphilis in a HIV-Infected Patient Weder, Stefan Senn, Pascal Caversaccio, Marco Vibert, Dominique Case Rep Neurol Published online: March, 2013 We report the detailed documented case of a 57-year-old homosexual HIV-positive man with bilateral cochleovestibular deficits as a first symptom of syphilis infection in early stage II disease. As a morphological substrate, a strong enhancement of both inner ears and vestibulocochlear nerves were found on gadolinium-enhanced MR scans. The serological tests identified an active infection with Treponema pallidum. After a high-dose treatment with penicillin G and prednisolone, the auditory and vestibular functions and the MR morphology of the vestibulocochlear nerves and inner ears on both sides returned to normal. S. Karger AG 2013-03-29 /pmc/articles/PMC3635683/ /pubmed/23626567 http://dx.doi.org/10.1159/000350574 Text en Copyright © 2013 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published online: March, 2013
Weder, Stefan
Senn, Pascal
Caversaccio, Marco
Vibert, Dominique
Cochleovestibular Deficit as First Manifestation of Syphilis in a HIV-Infected Patient
title Cochleovestibular Deficit as First Manifestation of Syphilis in a HIV-Infected Patient
title_full Cochleovestibular Deficit as First Manifestation of Syphilis in a HIV-Infected Patient
title_fullStr Cochleovestibular Deficit as First Manifestation of Syphilis in a HIV-Infected Patient
title_full_unstemmed Cochleovestibular Deficit as First Manifestation of Syphilis in a HIV-Infected Patient
title_short Cochleovestibular Deficit as First Manifestation of Syphilis in a HIV-Infected Patient
title_sort cochleovestibular deficit as first manifestation of syphilis in a hiv-infected patient
topic Published online: March, 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3635683/
https://www.ncbi.nlm.nih.gov/pubmed/23626567
http://dx.doi.org/10.1159/000350574
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