以突发性聋及视神经萎缩为首发症状的神经梅毒合并艾滋病1例

• 作者: 于红 张贺峰 李锦 汪欣 禹智 马冉阳
• 来源期刊: 临床耳鼻咽喉头颈外科杂志
• 学科: 医学
• 关键词: 聋,突发性 神经梅毒 获得性免疫缺陷综合征
• 年，卷（期）: 2017,（19）
• 所属期刊栏目: 病例报告
• 页码范围: 1524-1525
• 页数: 2页
• 分类号: R764.43
• 语种: 中文
• DOI: 10.13201/j.issn.1001-1781.2017.19.015

摘要

A 46-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× 106/L and protein level of 1.08 g/L.The diagnosis was:① left ear sudden deafness (total deafness type);② neurosyphilis;③ acquired immune deficiency syndrome(AIDS).