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Sensorineural hearing loss in neurobrucellosis

R Thomas1, M Kameswaran, V Murugan

  • 1Department of Otolaryngology, Assir Central Hospital, Abha and King Saud University, Saudi Arabia.

The Journal of Laryngology and Otology
|November 1, 1993
PubMed
Summary

Neurobrucellosis can cause sensorineural hearing loss (SNHL), a key symptom often missed by otologists. Early diagnosis and prolonged treatment are crucial for managing this neurological complication of brucellosis.

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Area of Science:

  • Otolaryngology
  • Infectious Diseases
  • Neurology

Background:

  • Brucellosis is a zoonotic infection with diverse clinical manifestations.
  • Neurobrucellosis, a serious complication, can affect the central and peripheral nervous systems.
  • Sensorineural hearing loss (SNHL) is an underrecognized symptom of neurobrucellosis.

Observation:

  • A case of neurobrucellosis is presented where SNHL was the primary clinical presentation.
  • The patient's otological symptoms prompted investigation into potential underlying causes.
  • This highlights the importance of considering brucellosis in patients with unexplained SNHL.

Findings:

  • Neurobrucellosis can manifest predominantly as SNHL, requiring specific diagnostic approaches.
  • Prolonged combination antibiotic therapy is essential to prevent relapse and hearing deterioration.

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  • Diagnostic features and treatment strategies for neurobrucellosis-associated SNHL are discussed.

    • Implications:

    • Otologists, especially in endemic areas, should include brucellosis screening in SNHL diagnostics.
    • Increased awareness can lead to earlier diagnosis and intervention for neurobrucellosis.
    • This case emphasizes the need for interdisciplinary collaboration in managing complex infections.