Open Access
Otosyphilis: A Review of the Literature
Author(s) -
Meena S. Ramchandani,
Jamie R. Litvack,
Christina M. Marra
Publication year - 2020
Publication title -
sexually transmitted diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.507
H-Index - 105
eISSN - 1537-4521
pISSN - 0148-5717
DOI - 10.1097/olq.0000000000001155
Subject(s) - medicine , syphilis , hearing loss , sensorineural hearing loss , treponematosis , audiology , sudden hearing loss , disease , complication , sexually transmitted disease , intensive care medicine , pediatrics , surgery , immunology , pathology , human immunodeficiency virus (hiv)
The number of cases of syphilis has increased in the United States and in many high-income nations. Otosyphilis is a less recognized complication of syphilis that can lead to irreversible sensorineural hearing loss. Different pathophysiological mechanisms have been proposed to explain hearing loss in otosyphilis. We review the literature on otosyphilis in adults and propose the need for future work in this field to identify better ways to diagnose, treat, and manage this disease. Patients with syphilis should be screened routinely for hearing loss, and all patients with new, sudden, or fluctuating sensorineural hearing loss should be evaluated for syphilis.