Case Report: Leptospirosis Complicated by Persistent, Bilateral Sensorineural Hearing Loss

被引:0
作者
Campbell, Stuart [1 ]
Stewart, James [1 ]
Quail, Gavin [2 ]
Withey, Grant [3 ]
Smith, Simon [1 ]
Hanson, Josh [1 ,4 ]
机构
[1] Cairns Hosp, Div Med, Cairns, Australia
[2] Cairns Hosp, Dept Surg, Cairns, Australia
[3] Cairns Hosp, Dept Endocrinol, Cairns, Australia
[4] Univ New South Wales, Kirby Inst, Wallace Wurth Bldg, Sydney, NSW 2052, Australia
关键词
NEUROLEPTOSPIROSIS; PALSY; BRAIN;
D O I
10.4269/ajtmh.23-0100
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The clinical manifestations of leptospirosis range from mild to life-threatening and can impact on multiple organ systems. A wide array of neurological manifestations of leptospirosis have been reported, although the pathophysiology of neuroleptospirosis remains incompletely understood. We present a case of leptospirosis complicated by bilateral sensorineural deafness, with nodular meningitis demonstrated in the internal auditory meatus on magnetic resonance imaging. The patient was treated with doxycycline, ceftriaxone, systemic and topical steroids, and hyperbaric oxygen therapy, with modest, but incomplete, improvement.
引用
收藏
页码:1238 / 1241
页数:4
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