日本性感染症学会誌 Journal of Japanese Society for Sexually Transmitted Infections

Online ISSN: 2434-2505 Print ISSN: 0917-0324
日本性感染症学会 Japanese Society for Sexually Transmitted Infections
〒162-0801東京都新宿区山吹町358-5アカデミーセンター Japanese Society for Sexually Transmitted Infections Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Japanese Journal of Sexually Transmitted Infections 30(1): 1-4 (2019)
doi:10.24775/jjsti.C-2019-0002

症例報告症例報告

人間ドックで発見された内耳梅毒の1例A case of inner ear syphilis identified during a medical checkup

東京慈恵会医科大学皮膚科Department of Dermatology, The Jikei University School of Medicine

受付日:2019年3月25日Received: March 25, 2019
受理日:2019年5月23日Accepted: May 23, 2019
発行日:2019年8月31日Published: August 31, 2019
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We report a case of hearing loss caused by inner ear syphilis. A 65-year-old man visited our hospital for diagnosis of syphilis upon a positive outcome from a serum test performed during his medical checkup. The patient reported hearing loss and tinnitus in both ears for the past month. He also suffered from a swollen penis prepuce and a mild case of full-body erythema. A diagnosis of secondary syphilis was made. We diagnosed inner ear syphilis from the results of a blood test, cerebrospinal fluid examination, hearing test, and inner ear MRI. Intravascular penicillin G potassium was administrated for 14 days, but his hearing did not improve. Hearing loss caused by inner ear syphilis should be treated as early as possible. This case demonstrates the importance of the early and correct diagnosis of syphilis patients.

Key words: syphilis; inner ear syphilis

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