Scientific article
Case report
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English

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

Published inCase Reports in Neurology, vol. 5, no. 1, p. 62-67
Publication date2013
Abstract

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.

Keywords
  • Cochleovestibular deficit
  • Neurosyphilis
  • HIV
Affiliation entities Not a UNIGE publication
Citation (ISO format)
WEDER, Stefan et al. Cochleovestibular Deficit as First Manifestation of Syphilis in a HIV-Infected Patient. In: Case Reports in Neurology, 2013, vol. 5, n° 1, p. 62–67. doi: 10.1159/000350574
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Article (Published version)
Identifiers
Journal ISSN1662-680X
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