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突发性感觉神经性听力损失:登革热的一种罕见表现。

Sudden sensorineural hearing loss: A rare presentation of dengue fever.

机构信息

Department of ENT, Head and Neck Surgery, Aga Khan University Hospital, Karachi, Pakistan.

Department of ENT, Head and Neck Surgery, Dr. Ziauddin Hospital, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2022 Sep;72(9):1862-1864. doi: 10.47391/JPMA.3847.

Abstract

Sudden Sensorineural Hearing Loss (SSNHL) is described as a hearing loss of at least 30db in three frequencies in pure tone audiogram over 3 days or less. The cause may be infectious, vascular, systemic immune-mediated or idiopathic. Multiple viral infections have been associated with SSNL. However, dengue fever, which is an RNA viral disease that is directly transmitted by a mosquito of genus Aedes, has been reported to present with SSNHL only thrice in existing literature to the best of our knowledge. There are multiple different proposed mechanisms of SSNHL in viral infections and multiple viruses have been proven to cause hearing loss. However, dengue virus is not one of them. In majority of cases of SSNHL, the exact cause is very difficult to determine. We report the case of a gentleman who had unilateral SSNHL after dengue fever.

摘要

突发性聋(SSNHL)是指在纯音听力图中,3 天或更短时间内,3 个频率至少有 30dB 的听力损失。病因可能是感染性、血管性、系统性免疫介导或特发性的。多种病毒感染与 SSNL 有关。然而,据我们所知,登革热是一种由伊蚊直接传播的 RNA 病毒病,在现有文献中仅报告了三次出现 SSNHL 的情况。在病毒感染中,有多种不同的 SSNHL 发病机制,并且已经证实多种病毒可导致听力损失,但登革热病毒不在其中。在大多数 SSNHL 病例中,确切的病因很难确定。我们报告了一例登革热后单侧 SSNHL 的患者。

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