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Delayed deterioration of hearing following bacterial meningitis

Published online by Cambridge University Press:  29 June 2007

V. Jayarajan*
Affiliation:
Department of Audiological Medicine, The Royal Surrey County Hospital, Guildford, Surrey, UK.
S. Rangan
Affiliation:
Department of Audiological Medicine, The Royal Surrey County Hospital, Guildford, Surrey, UK.
*
Address for correspondence: Dr V. Jayarajan, Department of Audiological Medicine, The Royal Surrey County Hospital, Guildford, Surrey GU2 5XX. Fax: 01483 464108

Abstract

Bacterial meningitis is an important cause of acquired sensorineural deafness in childhood. Deafness following meningitis may be progressive. Previous reports have shown deterioration in hearing up to 12 years after the illness. We present two cases of sensorineural deafness following meningitis. Severe to profound sensorineural hearing losses were detected immediately after meningitis in these patients. The hearing subsequently deteriorated in both cases. Deterioration in hearing thresholds occurred 17 years after the illness in one case. In the other patient the hearing got progressively worse three years after meningitis. She subsequently required a cochlear implant.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

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References

Brookhouser, P. E., Auslander, M. C., Meskan, M. E. (1988) The pattern and stability of postmenigitis hearing loss in children. Laryngoscope 98: 940948.CrossRefGoogle ScholarPubMed
Davis, A., Wood, S. (1992) The epidemiology of childhood hearing impairment: factors relevant to planning of services. British Journal of Audiology 26: 7790.CrossRefGoogle ScholarPubMed
Dodge, P. R., Davis, H., Feigin, R. D., Holmes, S. J., Kaplan, S. L., Jubelirer, D. P., Stechenberg, B. W., Hirsh, S. K. (1984) Prospective evaluation of hearing impairment as a sequela of acute bacterial meningitis. New England Journal of Medicine 311: 869874.CrossRefGoogle ScholarPubMed
Finitzo-Hieber, Y., Simhadri, R., Hieber, J. P. (1981) Abnormalities of the auditory brainstem response in postmeningitis infants and children. International Journal of Paediatric Otorhinolaryngology 3: 275286.CrossRefGoogle Scholar
Fortnum, H. M. (1992) Hearing impairment after bacterial meningitis: a review. Archives of Disease in Childhood 67: 11281133.CrossRefGoogle ScholarPubMed
Nadol, J. B. Jr., Hsu, W. C. (1991) Histopathological correlation of spiral ganglion cell count and new bone formation in the cochlea following meningogenic labyrinthitis and deafness. Annals of Otology, Rhinology and Laryngology 100 (9 Pt 1): 712716.CrossRefGoogle ScholarPubMed
Richardson, M. P., Reid, A., Tarlow, M. J., Rudd, P. T. (1997) Hearing loss during bacterial meningitis. Archives of Disease in Childhood 76: 134138.CrossRefGoogle ScholarPubMed
Silkes, E., Chabot, J. (1985) Progressive hearing loss following Haemophilus influenzae meningitis. International Journal of Pediatric Otorhinolaryngology 9: 249256.CrossRefGoogle ScholarPubMed
Spanjaard, L., Bol, P., De Jong, M. C. J. W., Zanen, H. C. (1986) Bacterial meningitis in 366 children in the Netherlands, 1982–1983. Epidemiology and antibiotic therapy. Tijdschrift voor Kindergeneeskunde 54: 18.Google ScholarPubMed