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Tuberculous meningitis presenting as sensorineural hearing loss.

R Kotnis1, R Simo

  • 1Department of ENT Surgery, University Hospital Lewisham, Lewisham, London, UK.

The Journal of Laryngology and Otology
|June 29, 2001
PubMed
Summary

Tuberculous meningitis can present with sudden, one-sided hearing loss. This rare initial symptom in a 60-year-old male highlights the need for broader diagnostic considerations in otolaryngology.

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Area of Science:

  • Otorhinolaryngology
  • Infectious Diseases
  • Neurology

Background:

  • Tuberculous meningitis (TBM) is a serious infection of the central nervous system.
  • Early diagnosis and treatment are crucial for favorable outcomes.
  • Otorhinolaryngologic manifestations of TBM are uncommon.

Observation:

  • A 60-year-old male presented with acute unilateral sensorineural hearing loss.
  • The patient also experienced fever and night sweats.
  • These symptoms prompted further investigation.

Findings:

  • The patient was diagnosed with tuberculous meningitis.
  • Unilateral sensorineural hearing loss was the presenting symptom.
  • This presentation is previously unreported in medical literature.

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Implications:

  • Highlights a rare otologic presentation of tuberculous meningitis.
  • Suggests considering TBM in patients with unexplained unilateral hearing loss and systemic symptoms.
  • Emphasizes the importance of interdisciplinary collaboration in diagnosing complex cases.