Acute streptococcal meningitis presenting as bilateral conductive hearing loss
Matthew J Dougherty1, Austin T Smith1
1Department of Emergency Medicine, Vanderbilt University Medical Center, 1313 21(st) Avenue, South, 703 Oxford House, Nashville, TN 37232-4700.
The American Journal of Emergency Medicine
|April 16, 2018
Summary
Sudden hearing loss can be an unusual initial symptom of bacterial meningitis. Prompt diagnosis and treatment of pneumococcal meningitis are crucial for better patient outcomes.
Area of Science:
- Neurology
- Infectious Diseases
- Otolaryngology
Background:
- Bacterial meningitis is a serious infection affecting the central nervous system.
- While hearing loss is a known complication, it is rarely the primary presenting symptom.
Observation:
- A 59-year-old female presented with acute bilateral hearing loss.
- The patient was diagnosed with Streptococcus pneumoniae meningitis.
Findings:
- This case highlights hearing loss as an atypical initial manifestation of bacterial meningitis.
- Streptococcus pneumoniae was identified as the causative agent.
Implications:
- Early recognition of varied symptoms in bacterial meningitis is critical for timely intervention.
- Prompt treatment of pneumococcal meningitis improves patient prognosis and reduces mortality risk.
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