摘要
1病例报告患者,男,46岁,因“左耳突发性听力下降伴眩晕3d”于2016年6月2日入我科治疗。患者发病初期出现左耳听力极重度下降,伴眩晕、左耳鸣,发病后第4天患者出现左眼视物模糊,2d后迅速出现左眼视野由外向中心进行性缩小、视力进行性下降。患者否认既往外伤史、耳毒性药物应用史及耳聋家族史,否认同性恋史及吸毒史。体检：全身皮肤多处红色斑疹,四肢运动共济、感觉检查均正常,颈软,脑膜刺激征（-）。左眼直、
Summary A 16-year-old male presented with left ear hearing loss, vertigo, tinnitus and left eye blurred vision. Pure tone audiometry showed left ear had been total deafness. Treponema pallidum particle agglutination （TPPA） assay was reactive. The serum rapid plasma regain （RPR） was 1 ： 16. Human immunodeficiency virus （ HIV）-1/2 antibody immunoassay was positive,and the CD4 cell count was low at 100 cells/μl. Cerebrospinal fluid （CSF） TPPA was positive, with a white blood cell count of 53 × 10^6/L and protein level of 1.08 g/L. The diagnosis was： ①lefl ear sudden deafness（total deafness type）; ②neurosyphilis; ③acquired immune deficiency syndrome（AIDS）.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2017年第19期1524-1525,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
吉林大学第一医院青年发展基金(No:JDYY52015039)
关键词
聋
突发性
神经梅毒
获得性免疫缺陷综合征
deafness, sudden
neurosyphilis
acquired immunodeficiency syndrome
