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Enteroviruses and sudden deafness.

Ami Schattner1, Doron Halperin, Dana Wolf

  • 1Hebrew University and Hadassah Medical School, Jerusalem, Israel. amiMD@clalit.org.il

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|May 29, 2003
PubMed
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Sudden hearing loss can be caused by enterovirus infection. Prompt treatment with methylprednisolone improved hearing in a young man with confirmed enterovirus meningitis.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Otolaryngology

Background:

  • Sudden sensorineural hearing loss (SSNHL) is an otologic emergency with diverse etiologies.
  • Prompt diagnosis and treatment are crucial for hearing recovery.

Observation:

  • A young, healthy male presented with acute severe sensorineural hearing loss and tinnitus.
  • Initial workup, neuroimaging, and auditory brain stem responses were unremarkable.
  • Patient experienced a preceding febrile illness with systemic symptoms.

Findings:

  • Cerebrospinal fluid analysis revealed mononuclear pleocytosis with positive enterovirus PCR and stool culture.
  • Echovirus serotype 4 infection was identified, linked to a local enterovirus meningitis outbreak.
  • Methylprednisolone pulse therapy led to significant hearing improvement within 10 days.

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Implications:

  • Enterovirus infection should be considered in the differential diagnosis of SSNHL.
  • Early identification of infectious causes can guide appropriate management.
  • This case highlights the neurological manifestations of enterovirus, including hearing loss.