A rare case report of bilateral vestibulopathy due to otosyphilis.
| Autor: | Gu H; Department of Neurology, Second Affiliated Hospital of Naval Medical University, Shanghai, Huangpu District, Shanghai, China., Xu Y, Xu J, Zhuang J |
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| Jazyk: | angličtina |
| Zdroj: | Medicine [Medicine (Baltimore)] 2024 May 17; Vol. 103 (20), pp. e38149. |
| DOI: | 10.1097/MD.0000000000038149 |
| Abstrakt: | Rationale: Bilateral vestibulopathy is an important cause of imbalance. There are multiple etiologies of bilateral vestibulopathy (BVP), but reports of BVP due to otosyphilis are rare. Patient Concerns: A 39-year-old male was referred to our medical center due to vertigo, persistent dizziness and gait disturbance for 2 months. Diagnoses: Bilateral vestibulopathy due to otosyphilis was considered in this case, as confirmed through analyses of vestibular function, laboratory tests, and penicillin treatment. Interventions: The patient was was treated with a high dose of penicillin G (24 × 106 IU/d) for 14 days. Outcomes: The patient's symptoms had improved greatly following treatment, with dizziness and gait disturbance having completely resolved at 3 months following hospital discharge. Lessons: Bilateral vestibulopathy should be considered when evaluating patients with acute or subacute persistent dizziness. Clinicians should also be aware of the potential for otosyphilis among patients who report BVP. Competing Interests: The authors have no funding and conflicts of interest to disclose. (Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.) |
| Databáze: | MEDLINE |
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