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Cryptococcal meningitis presenting with acute hearing loss.
Aleem Azal Ali1, Naji Maaliki2, Monique Oye2
1Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, Florida, USA a.azal.ali@gmail.com.
BMJ Case Reports
|May 5, 2021
Summary
Cryptococcal meningitis can cause reversible hearing loss. This case shows profound hearing loss as the first sign of cryptococcal meningitis in a young woman with AIDS.
Area of Science:
- Neurology
- Infectious Diseases
- Otolaryngology
Background:
- Cryptococcal meningitis is an infection of the central nervous system.
- Sensorineural hearing loss is a known complication.
- Typical symptoms include fever, headache, and neck stiffness.
Purpose of the Study:
- To report a case of cryptococcal meningitis presenting initially with profound hearing loss.
- To highlight an atypical presentation of this infection.
Main Methods:
- Case report.
Main Results:
- A young woman presented with acute, profound, bilateral sensorineural hearing loss.
- This was the initial symptom of cryptococcal meningitis.
- She was subsequently diagnosed with acquired immunodeficiency syndrome (AIDS).
Conclusions:
- Acute hearing loss can be the primary presenting symptom of cryptococcal meningitis.
- This presentation is particularly relevant in patients with underlying immunocompromise, such as AIDS.
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