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Erythromycin ototoxicity

P Thompson, R P Wood, L Bergstrom

    The Journal of Otolaryngology
    |February 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Erythromycin is a safe antibiotic, but can cause hearing loss (ototoxicity), especially with high oral doses in patients with kidney problems. This hearing loss is usually reversible.

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    Area of Science:

    • Otolaryngology
    • Pharmacology
    • Nephrology

    Background:

    • Erythromycin is a widely used antibiotic with a generally favorable safety profile.
    • While rare, ototoxicity is a potential complication of erythromycin administration.
    • Previous reports of erythromycin-induced ototoxicity primarily involved intravenous administration.

    Observation:

    • A case study of an 18-year-old female patient with severe renal failure is presented.
    • The patient received high doses of an oral erythromycin preparation.
    • The patient developed sensorineural hearing loss.

    Findings:

    • The patient's hearing loss was determined to be sensorineural.
    • The ototoxic effects were associated with high-dose oral erythromycin in the context of renal failure.

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  • The hearing loss was reversible upon discontinuation of the medication.
  • Implications:

    • This case highlights the potential for ototoxicity from oral erythromycin, particularly in patients with impaired renal function.
    • Clinicians should be aware of this rare but serious side effect and monitor hearing in at-risk patients.
    • Further research may be warranted to elucidate the mechanisms and risk factors for erythromycin-induced ototoxicity.