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Cochlear implantation after deafness from Pasteurella multocida meningitis
Jeffrey Dewitt Warner1, Ashwini Milind Tilak2, Sudhir Manickavel2
1Otolaryngology-Head and Neck Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA jdwarner@uab.edu.
BMJ Case Reports
|April 16, 2022
Summary
A veterinary technician developed severe meningitis due to Pasteurella multocida, leading to bilateral deafness. Early cochlear implantation was crucial for hearing restoration in this rare case.
Area of Science:
- Infectious Diseases
- Neurology
- Otolaryngology
Background:
- A veterinary technician presented with symptoms mimicking viral illness, including headache, confusion, and neck stiffness.
- Delayed diagnosis of bacterial meningitis caused by Pasteurella multocida occurred due to atypical initial presentation.
Observation:
- The patient developed bilateral profound hearing loss during treatment for meningitis.
- Magnetic Resonance Imaging (MRI) revealed early labyrinthitis ossificans in the basal cochlea.
Findings:
- Pasteurella multocida meningitis can lead to severe cochlear complications and hearing loss.
- Surgical exploration confirmed ossification, necessitating bilateral cochlear implants.
Implications:
- This case highlights the importance of considering bacterial meningitis in patients with neurological symptoms, even after a viral diagnosis.
- Early bilateral cochlear implantation is vital for managing hearing loss resulting from meningitis-induced labyrinthitis ossificans.
