Chroni M, Prappa E, Kokkevi I
Department of ENT,Evaggelismos Hospital,Athens,Greece.
Department of Cardiology,Evaggelismos Hospital,Athens,Greece.
J Laryngol Otol. 2018 Apr;132(4):368-371. doi: 10.1017/S0022215118000269. Epub 2018 Feb 21.
Septic emboli are an unusual cause of sudden sensorineural hearing loss, for which few reports exist in the literature.
This paper presents two cases of sudden sensorineural hearing loss, initially considered as idiopathic, but which were caused by septic emboli. Hearing loss in these cases was bilateral, sequential and total. The first patient had mild fever one week prior to their presentation with sudden sensorineural hearing loss; the other patient had no additional symptoms at presentation. These patients were later diagnosed with infective endocarditis, at two and seven months following the sudden sensorineural hearing loss respectively, showing that septic emboli had been the cause of sudden sensorineural hearing loss.
Septic emboli should be considered as a possible cause of sudden sensorineural hearing loss in cases of total hearing loss. This form of hearing loss should prompt the otolaryngologist to further investigate for infective endocarditis.
脓毒性栓子是突发性感音神经性听力损失的罕见病因，文献中对此报道较少。
本文介绍了两例突发性感音神经性听力损失病例，最初被认为是特发性的，但实际上是由脓毒性栓子引起的。这些病例中的听力损失为双侧、相继发生且完全性的。首例患者在出现突发性感音神经性听力损失前一周有低热；另一例患者在就诊时无其他症状。这些患者后来分别在突发性感音神经性听力损失后的两个月和七个月被诊断为感染性心内膜炎，表明脓毒性栓子是突发性感音神经性听力损失的病因。
在全聋病例中，应考虑脓毒性栓子是突发性感音神经性听力损失的可能病因。这种听力损失形式应促使耳鼻喉科医生进一步调查是否存在感染性心内膜炎。
