Otosyphilis as a rare cause of secondary benign paroxysmal positional vertigo: a case report
Otosyphilis is a rare cause of audiovestibular dysfunction that can easily be misdiagnosed. Here, we report a rare case in which a patient presented with secondary benign paroxysmal positional vertigo (BPPV) 2 weeks after symptoms of otosyphilis appeared. The Dix–Hallpike test showed a classical res...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-06-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605231153317 |
| _version_ | 1797794448437936128 |
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| author | Xiang Chen Xiaofen Zheng Yingzhi Chen Shanhu Xu |
| author_facet | Xiang Chen Xiaofen Zheng Yingzhi Chen Shanhu Xu |
| author_sort | Xiang Chen |
| collection | DOAJ |
| description | Otosyphilis is a rare cause of audiovestibular dysfunction that can easily be misdiagnosed. Here, we report a rare case in which a patient presented with secondary benign paroxysmal positional vertigo (BPPV) 2 weeks after symptoms of otosyphilis appeared. The Dix–Hallpike test showed a classical response in the head-hanging left position. The patient was treated with intravenous penicillin G and the canalith repositioning maneuver, which completely resolved the vertigo. The patient's audiovestibular symptoms resolved gradually. The elevated cerebrospinal fluid (CSF) white blood cell (WBC) count returned to normal and the results of the Treponema pallidum particle agglutination (TPPA) test were negative at the 3-month follow-up. This report suggests that otosyphilis should be considered in the differential diagnosis of audiovestibular dysfunction in patients at risk. Additionally, clinicians should remain vigilant about the possibility of secondary BPPV in patients with otosyphilis who report positional vertigo. |
| first_indexed | 2024-03-13T03:02:00Z |
| format | Article |
| id | doaj.art-c7631aac5b7b4a05b325730536e2b14c |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-03-13T03:02:00Z |
| publishDate | 2023-06-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-c7631aac5b7b4a05b325730536e2b14c2023-06-27T11:33:31ZengSAGE PublishingJournal of International Medical Research1473-23002023-06-015110.1177/03000605231153317Otosyphilis as a rare cause of secondary benign paroxysmal positional vertigo: a case reportXiang ChenXiaofen ZhengYingzhi ChenShanhu XuOtosyphilis is a rare cause of audiovestibular dysfunction that can easily be misdiagnosed. Here, we report a rare case in which a patient presented with secondary benign paroxysmal positional vertigo (BPPV) 2 weeks after symptoms of otosyphilis appeared. The Dix–Hallpike test showed a classical response in the head-hanging left position. The patient was treated with intravenous penicillin G and the canalith repositioning maneuver, which completely resolved the vertigo. The patient's audiovestibular symptoms resolved gradually. The elevated cerebrospinal fluid (CSF) white blood cell (WBC) count returned to normal and the results of the Treponema pallidum particle agglutination (TPPA) test were negative at the 3-month follow-up. This report suggests that otosyphilis should be considered in the differential diagnosis of audiovestibular dysfunction in patients at risk. Additionally, clinicians should remain vigilant about the possibility of secondary BPPV in patients with otosyphilis who report positional vertigo.https://doi.org/10.1177/03000605231153317 |
| spellingShingle | Xiang Chen Xiaofen Zheng Yingzhi Chen Shanhu Xu Otosyphilis as a rare cause of secondary benign paroxysmal positional vertigo: a case report Journal of International Medical Research |
| title | Otosyphilis as a rare cause of secondary benign paroxysmal positional vertigo: a case report |
| title_full | Otosyphilis as a rare cause of secondary benign paroxysmal positional vertigo: a case report |
| title_fullStr | Otosyphilis as a rare cause of secondary benign paroxysmal positional vertigo: a case report |
| title_full_unstemmed | Otosyphilis as a rare cause of secondary benign paroxysmal positional vertigo: a case report |
| title_short | Otosyphilis as a rare cause of secondary benign paroxysmal positional vertigo: a case report |
| title_sort | otosyphilis as a rare cause of secondary benign paroxysmal positional vertigo a case report |
| url | https://doi.org/10.1177/03000605231153317 |
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