Lang B, Hintze J, Conlon B
Department of Otorhinolaryngology and Head and Neck Surgery, St James University Hospital, Dublin, Ireland.
J Laryngol Otol. 2020 Oct 1:1-3. doi: 10.1017/S0022215120002145.
Severe acute respiratory syndrome coronavirus 2 emerged in December 2019 in Wuhan, China, and was declared a global health emergency of international concern by the World Health Organization on 30th January 2020. It has resulted in almost 600 000 deaths to date worldwide. Sudden sensorineural hearing loss is a known complication of a number of viral infections, but there is little in the literature to date on its association with coronavirus disease 2019.
This paper presents the case of a 30-year-old female staff nurse who contracted coronavirus disease 2019 and presented to our department with a significant unilateral sensorineural hearing loss confirmed on audiogram. She was treated with a course of oral steroids, but unfortunately there was no improvement in her hearing.
This case report is important as it highlights the importance of having a low index of suspicion when patients present with a variety of symptoms not previously associated with coronavirus disease 2019. The paper also discusses the controversy surrounding the use of steroids in the management of this disease.
2019年12月，严重急性呼吸综合征冠状病毒2在中国武汉出现，并于2020年1月30日被世界卫生组织宣布为国际关注的突发公共卫生事件。截至目前，全球已有近60万人死亡。突发性感音神经性听力损失是多种病毒感染的已知并发症，但迄今为止，关于其与2019冠状病毒病的关联，文献报道甚少。
本文介绍了一名30岁的女性护士的病例，她感染了2019冠状病毒病，并因听力图证实为严重单侧感音神经性听力损失而前来我科就诊。她接受了一个疗程的口服类固醇治疗，但遗憾的是，听力没有改善。
本病例报告具有重要意义，因为它凸显了当患者出现各种以前与2019冠状病毒病无关的症状时，保持低怀疑指数的重要性。本文还讨论了在该疾病管理中使用类固醇的争议。
Zotero 插件