Internal Medicine, Queensland Health, Brisbane, Queensland, Australia
Infectious Diseases, Townsville Hospital and Health Service, Townsville, Queensland, Australia.
BMJ Case Rep. 2021 Apr 16;14(4):e239040. doi: 10.1136/bcr-2020-239040.
Hearing loss is an unusual presenting feature of meningoencephalitis. Two cases of HIV-negative patients who presented with hearing loss are discussed and a literature review of published cases was conducted. Possible mechanisms for hearing loss with infection are explored. This case series aims to raise awareness among clinicians that hearing loss can be a concerning feature in patients with persistent headache necessitating further investigation.
听力损失是脑膜炎的一种不常见的表现特征。本文讨论了两例表现为听力损失的 HIV 阴性患者,并对已发表病例进行了文献回顾。探讨了感染导致听力损失的可能机制。本病例系列旨在提高临床医生的认识,即听力损失可能是持续性头痛患者的一个令人担忧的特征,需要进一步调查。