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[Sudden bilateral deafness as allergic manifestation]
L A Vallejo Valdezate1, J L Herrero Laso, M Acuña García
1Servicio de O.R.L. Hospital Del Río Hortega, Valladolid.
Summary
A young woman experienced sudden bilateral deafness after taking a beta-lactam antibiotic and mucolytic. This case highlights a rare allergic reaction potentially causing sudden hearing loss.
Area of Science:
- Otolaryngology
- Allergology
- Pharmacology
Background:
- Sudden deafness is an otologic emergency with diverse etiologies.
- Allergic reactions are an underrecognized cause of sudden sensorineural hearing loss.
- Beta-lactam antibiotics are common allergens.
Observation:
- A young woman developed severe bilateral sudden deafness.
- The onset followed ingestion of a beta-lactam antibiotic (to which she had a known allergy) and a mucolytic agent.
- Clinical events were meticulously documented.
Findings:
- The case presents a rare instance of sudden deafness linked to a drug-induced allergic reaction.
- Comparison with scarce literature suggests a pattern in allergic reactions causing sudden hearing loss.
- A pathogenetic hypothesis for digestive allergic reactions leading to deafness is proposed.
Implications:
- This case underscores the importance of considering allergic reactions in unexplained sudden deafness.
- Further research into the link between digestive allergies and otologic symptoms is warranted.
- Clinicians should inquire about potential allergens in patients presenting with sudden hearing loss.