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Acute sensorineural hearing loss as atypical presentation of typhoid fever in adult patient.

Authors
  • Al Khodari, Khaled1
  • Baig, Tehniyat2
  • Alkhateeb, Mohammad Husni1
  • Naeem, Muhammad1
  • 1 Department of Internal Medicine, Hamad Medical Corporation (HMC), Doha, Qatar. , (Qatar)
  • 2 Weill Cornell Medicine-Qatar, Doha, Qatar. , (Qatar)
Type
Published Article
Journal
SAGE open medical case reports
Publication Date
Jan 01, 2020
Volume
8
Identifiers
DOI: 10.1177/2050313X20958548
PMID: 33062279
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Salmonella Typhi is the main cause of an acute febrile, sometimes fatal, multisystemic illness called typhoid fever. The diverse presentations of this disease make it a diagnostic challenge in some patients. Involvement of the neurological system, including cochleovestibular system, is very rare with less than a handful of reported cases. This case report describes the condition of a previously healthy 23-year-old Pakistani man with acute onset of hearing loss associated with fever, headache, and disorientation. The most likely differential diagnoses were bacterial or viral meningoencephalitis, and other bacterial infections, such as Rickettsial and spirochetal diseases. Salmonella Typhi grew on blood culture; thus, treatment with intravenous antibiotics and systemic steroids was provided with excellent response. Hearing loss gradually improved and almost completely resolved within 3 to 4 weeks. © The Author(s) 2020.

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