about the project
Medical news
For authors
Licensed books on medicine
<< Previous Next >>

Syphilis ear

Congenital syphilis is characterized by damage to the inner ear and appears at the age of 8 to 20 years. Bilateral pronounced sensorineural hearing loss develops (the Getchinson triad - deformity of incisors, parenchymal keratitis and cochlear neuritis) with a decrease, less often loss of vestibular function. Often there is a positive symptom of Anber - pressor nystagmus with a whole eardrum due to increased mobility of the stapes from syphilitic periostitis. In response to compression, a slow deviation of the eyes in the opposite direction occurs, and after the termination of compression, towards the studied ear. Deviation of the eyes is accompanied by dizziness. According to Barani, the most characteristic symptom of Anber is a tonic deviation of the eyes, and not nystagmus as with a fistula of the external semicircular canal in case of epithympanitis.

Acquired syphilis. Syphilis of the outer ear occurs in the form of chancre, secondary syphilitic rash, syphilitic (gummous) chondritis. Syphilis in the tympanic cavity almost never happens, in the mastoid process, miliary gum with giant cells is occasionally noted. In the inner ear there is a bone obliteration of the lumen of the semicircular canals, atrophy of the neuroepithelium of the cochlea and vestibular apparatus, obliterating endarteritis.

The dominant lesion in syphilis is the pathology of the inner ear. A characteristic and early sign of acquired syphilis is a pronounced shortening of bone conduction.
The defeat of the inner ear can develop slowly, accompanied by unsharp hearing loss mainly to high sounds and tinnitus. This form of hearing pathology occurs mainly in the II stage of syphilis and is prognostically favorable. In II e III noaaeyo iaae? Aaaony e auno? Ii? Ia? Anne? O? Uaa oa? Aiea, aaaouaa to severe hearing loss or deafness with a decrease or loss of vestibular function. Finally, more often in the second stage, the apoplectiform development of the disease occurs due to hemorrhage or thrombosis of the labyrinth vessels with sudden dizziness, nystagmus, tinnitus and deafness. Sudden deafness occurs after the administration of salvarsan due to toxic effects on the auditory nerve. Vestibular disorders are expressed in a decrease in excitability and dissociation between the results of rotational and caloric tests.

In spinal cord, cochleo-vestibular disorders are associated with damage to the auditory nerve, pathways and cortical centers.

The diagnosis is made on the basis of other manifestations of syphilis, history, course of the disease in combination with serological reactions. Sudden deafness with a sharp shortening or loss of bone conduction is suspicious of syphilis. In doubtful cases, the results of the trial treatment are important.

The treatment is specific.
<< Previous Next >>
= Skip to textbook content =

Syphilis ear

  1. Syphilis ear
    Manifestations of secondary syphilis (roseola, papule) on the skin of the outer ear are noted simultaneously with a similar lesion of other areas of the skin. Of greatest importance in syphilis of the ear is the process localized in the inner ear. Distinguish between congenital and acquired forms of the disease. With a congenital form, damage to the inner ear is detected at the age of 10-20 years and it manifests itself in a triad
  2. Syphilis of the upper respiratory tract and ear
    Syphilis is an infectious disease caused by pale treponema and transmitted primarily through sexual contact. The course of the disease is chronic relapsing with a characteristic periodicity of clinical symptoms. With syphilis, all organs and
    In case of an external ear injury, first aid is similar to first aid for injuries. Damage to the eardrum can occur during explosions, diving, during diving operations. The rupture of the membrane is accompanied by pain, hearing loss, minor bleeding from the ear. First aid: - insert a sterile cotton swab into the external auditory meatus; - put on the ear
    The fact of transmission of syphilis to offspring was established in the late 15th - early 16th centuries. For several centuries, the question of the mechanism of transmission of syphilitic infection remained unclear. For centuries, the germinative hypothesis was dominant, according to which syphilis is transmitted to the fetus only by the father through a sperm that directly infects the egg cell. According to this view, a child with syphilis
  5. Congenital syphilis. Fetal syphilis
    Under the influence of treponem, changes that occur in the placenta make it functionally inferior, as a result of which its intrauterine death occurs at the 6-7th month of pregnancy. The dead fruit is pushed out on the 3-4th day, usually in a macerated state. The macerated fruit, compared with a normally developing fruit of the same age, has significantly smaller sizes and weights. Leather
    Currently, there is a large group of sexually transmitted infections (STIs). Classification of STIs (WHO, 1982) Bacterial nature 1. Syphilis and other treponematoses (pint, frambesia, bezhel) 2. Gonorrhea 3. Chancroid 4. Venereal lymphogranulomatosis 5. Donovanosis 6. Urogenital chlamydia and Reiter’s disease 7. Urogenital mycoplasmosis (in t .h.
  7. The course of the secondary and tertiary periods of syphilis. Malignant course of syphilis
    Secondary period. This period begins with the onset of the first generalized rashes (on average 2.5 months after infection) and lasts in most cases for 2–4 years. The duration of the secondary period is individual and is determined by the characteristics of the patient's immune system. In the secondary period, the most pronounced wave-like course of syphilis, i.e., alternation
  8. Tertiary syphilis. Congenital syphilis.
    Tertiary syphilis. Congenital
  9. Treatment of patients with syphilis. Cure criterion. Clinical examination of patients with syphilis
  10. Middle ear chronic inflammation
    Causes Acute purulent otitis media of the middle ear, suffered from acute respiratory viral infections, scarlet fever, tonsillitis, measles, diseases of the upper respiratory tract, middle ear injury. Symptoms Frequent profuse suppuration from the ear with an unpleasant odor, hearing loss, periodic exacerbations of inflammation in the middle ear. Often, cholesteatom masses are released from the ear. Possible increase in temperature. First Aid Alcohol
Medical portal "MedguideBook" © 2014-2019