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Early bilateral eighth nerve involvement in meningococcal meningitis

R B Pollard

    Southern Medical Journal
    |March 1, 1976
    PubMed

    Insights

    A Navy recruit developed meningitis with hearing loss and vestibular issues. Despite treatment, permanent bilateral auditory and vestibular loss occurred, suggesting meningococcal labyrinthitis.

    Area of Science:

    • Neurology
    • Infectious Diseases
    • Otolaryngology

    Background:

    • A male Navy recruit presented with hearing loss and bilateral otitis media.
    • Meningeal signs developed 48 hours post-admission.

    Observation:

    • Type Y meningococcus was isolated from blood cultures after oral ampicillin treatment.
    • The patient received adequate doses of penicillin.

    Findings:

    • Permanent, bilateral, vestibular, and auditory loss resulted.
    • This case demonstrated unusual bilateral eighth nerve involvement.

    Implications:

    • The presentation suggests a localized, bilateral meningococcal labyrinthitis.
    • This highlights the potential for severe neurological and auditory complications in meningococcal infections.

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