| Abstrakt: |
Introduction: Sudden deafness is characterized by sensorineural hearing loss lasting up to 72 hours, of more than 30dB in at least 3 consecutive frequencies. One of the causes of this condition is syphilis, which is a systemic infection caused by Treponema pallidum that can affect several organs, including the auditory system. Deafness in syphilis is always sensorineural, and may be sudden or progressive, unilateral or bilateral, fluctuating or not. Objective: Report rare cause of bilateral sudden deafness due to tertiary syphilis. Case report: L.G.R., female, 61 years old, came to the service complaining of bilateral hearing loss for 11 days. Refers to a similar picture on the left 5 years ago. Audiometry was performed, which showed moderate bilateral sensorineural hearing loss. Previous audiometry was normal. Clinical treatment with regressive dose corticosteroids was instituted, with gradual improvement in hearing thresholds. Imaging tests were investigated that were normal. Among the laboratory tests: VDRL reagent 1/512. After treatment of the infectious condition, the patient was discharged from the hospital and guided to outpatient follow-up. Conclusion: The case reported is rare because it is a sudden bilateral deafness associated with syphilis, with previous recurrence on the left side. In this way, the importance of adequate investigation of the pathologies that can cause sudden deafness is evident, so that an early diagnosis of the cause of hearing impairment can be achieved and treatment appropriately, avoiding negative repercussions on the quality of life of patients. [ABSTRACT FROM AUTHOR] |
