Malaria induced sudden sensorineural hearing loss: a rare presentation

Authors

  • Adewale D. Agbaakin Department of Otorhinolarynology and head and neck surgery, Babcock univerity teaching hospital, Ilisan-Remo, Ogun
  • Ayodele M. Akinola Department of Otorhinolarynology and head and neck surgery, Babcock univerity teaching hospital, Ilisan-Remo, Ogun
  • Adetola Rachael Adeyeye Department of Otorhinolarynology and head and neck surgery, Babcock univerity teaching hospital, Ilisan-Remo, Ogun
  • Nonso B. Nkemjika Department of Otorhinolarynology and head and neck surgery, Babcock univerity teaching hospital, Ilisan-Remo, Ogun

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20194954

Keywords:

Malaria, Sudden sensorineural hearing loss, Antimalaria, Profound, Otoacoustics emission, Auditory steady state response

Abstract

Sudden Hearing loss has been rarely reported as a presenting symptom of malaria fever. It’s even more rare to have a bilateral profound sudden sensorineural hearing loss. A 19 years old female student presented with fever, body weakness, hearing loss with tinnitus. Laboratory investigations done were essentially normal except blood film for malaria parasite which showed a high concentration of the parasite in blood on both occasions. Otoacoustics emission test was passed bilaterally while auditory steady state response showed profound hearing loss bilaterally. Normal hearing was restored within 48 hrs of commencement of anti-malaria drugs and low dose steroids. 

Author Biography

Adewale D. Agbaakin, Department of Otorhinolarynology and head and neck surgery, Babcock univerity teaching hospital, Ilisan-Remo, Ogun

Resident doctor in department of ear, nose and throat; head and neck surgery

References

Wilson WR, By FM, Laird N. The efficacy of steroids in the treatment of idiopathic sudden hearing loss. A double-blind clinical study. Acta Oto-Laryngologica. 1980;106:772-6.

By FM. Sudden hearing loss: eight years’ experience and suggested prognostic table. Laryngoscope. 1998;94: 647-661

Fetterman BL, Saunders JE, Luxford WM. Prognosis and treatment of sudden sensorineural hearing loss. Am J Otol. 1996;17:529-36.

Chau JK, Lin JR, Atashband S, Irvine RA, Westerberg BD. Systematic review of the evidence for the etiology of adult sudden sensorineural hearing loss. Laryngoscope. 2010;120:1011-21.

World Health Organization. Guidelines for the Treatment of Malaria. 3rd ed. Geneva: World Health Organization; 2015. Available from: http://www.who.int/malaria/publications/atoz/9789241549127/en/. Accessed on 18th July 2019.

Tada T, Hitani A, Honda NH, Haruna S, Yoshimura T, Haruki K, et al. A case of falciparum malaria: Acute hearing loss as the initial symptom. J Infect Chemother. 2017;23(1):56-8.

Kuhn M, Heman-Ackah SE, Shaikh JA, Roehm PC. Sudden Sensorineural Hearing Loss: A Review of Diagnosis, Treatment, and Prognosis. Trends Hearing. 2011;15(3):91–105.

Pasternak ND, Dzikowski R. PfEMP1: an antigen that plays a key role in the pathogenicity and immune evasion of the malaria parasite Plasmodium falciparum. Int J Biochem Cell Biol. 2009;41(7):1463–6.

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Published

2019-10-23