新冠病毒感染后突发不可逆性听力损失
Sudden irreversible hearing loss post COVID-19.
作者信息
Koumpa Foteini Stefania, Forde Cillian T, Manjaly Joseph G
机构信息
University College London, London, UK
Royal National Throat Nose and Ear Hospital, London, UK.
出版信息
BMJ Case Rep. 2020 Oct 13;13(11):e238419. doi: 10.1136/bcr-2020-238419.
Sudden onset sensorineural hearing loss (SSNHL) is frequently seen by otolaryngologists. The exact pathophysiology of the disease is still unknown, with the most likely causative factor being following a viral infection. Immediate steroids are the best treatment to improve prognosis. Despite a plethora of papers in the literature describing SSNHL, there are only a few reported cases of hearing loss following COVID-19, none of which have been reported in the UK. This paper presents the first UK case of SSNHL following COVID-19. Physical examination and imaging excluded any other cause of hearing loss. A literature review showed that four other cases have been previously described. Hearing loss can be a significant cause of morbidity and can easily be missed in the intensive care setting. Being aware and screening for SSNHL following COVID-19 enables an early course of steroids, which offers the best chance of recovering hearing.
突发性感音神经性听力损失（SSNHL）在耳鼻喉科医生中较为常见。该疾病的确切病理生理学仍不清楚，最可能的致病因素是病毒感染后。立即使用类固醇是改善预后的最佳治疗方法。尽管文献中有大量关于SSNHL的论文，但COVID-19后听力损失的报道病例却很少，英国尚未有相关报道。本文介绍了英国首例COVID-19后发生的SSNHL病例。体格检查和影像学检查排除了听力损失的任何其他原因。文献综述显示，此前已有另外4例病例被描述。听力损失可能是发病的重要原因，在重症监护环境中很容易被忽视。意识到并对COVID-19后的SSNHL进行筛查，能够尽早使用类固醇，这为恢复听力提供了最佳机会。
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