Kline M W, Frasch C E
Department of Pediatrics, St. Louis University School of Medicine, Missouri.
Clin Pediatr (Phila). 1989 Nov;28(11):529-32. doi: 10.1177/000992288902801108.
An 8.5-year-old boy was evaluated 3 weeks after the occurrence of a febrile illness associated with sudden-onset deafness. An extensive diagnostic evaluation was largely unrewarding. However, unusual epidemiologic features of the case and cerebrospinal fluid abnormalities suggested meningococcal meningitis as the probable etiology. Serologic studies confirmed recent meningococcal infection. The potential etiologies of sudden acquired deafness are diverse, but a thorough evaluation is warranted and may be rewarding, even if it is initiated weeks after onset of deafness.
一名8.5岁男孩在出现与突发耳聋相关的发热性疾病3周后接受了评估。广泛的诊断评估大多没有结果。然而，该病例不寻常的流行病学特征和脑脊液异常提示可能的病因是脑膜炎球菌性脑膜炎。血清学研究证实近期有脑膜炎球菌感染。突发获得性耳聋的潜在病因多种多样，但即使在耳聋发作数周后才开始进行全面评估，也是有必要的，而且可能会有收获。
