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Sensorineural hearing loss in neurobrucellosis

Published online by Cambridge University Press:  29 June 2007

Ratna Thomas*
Affiliation:
Departments of Otolaryngology, Assir Central Hospital, Abha, Saudi Arabia
Mohan Kameswaran
Affiliation:
Department of Otolaryngology, Abha and King Saud University, Assir Central Hospital, Abha, Saudi Arabia
Vel Murugan
Affiliation:
Department of Neurology, Assir Central Hospital, Abha, Saudi Arabia
*
Dr Ratna Thomas, Assir Central Hospital, P0 Box 34, Abha, Saudi Arabia

Abstract

A case of neurobrucellosis presenting to the otologist with sensorineural hearing loss (SNHL) as the predominant clinical feature is reported. The diagnostic features and treatment options are discussed and the need for prolonged combination treatment to prevent relapse and further deterioration of hearing stressed. SNHL in neurobrucellosis has hitherto been reported principally in neurology literature as something of an incidental finding and so escapes the attention of otologists. It is hoped that this report will alert otologists in areas where brucellosis is endemic to the need to include tests for brucellosis in the routine diagnostic screening for SNHL. Practitioners in other locations should also consider this possibility when dealing with patients who have visited or lived in endemic regions.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1993

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References

Al-Aska, A. K. (1989) Some aspects of neurobrucellosis. Annals of Saudi Medicine 9: 220221.Google Scholar
Al-Bunyan, M. A. (1989) Pathology of neurobrucellosis. Annals of Saudi Medicine 9: 223224.Google Scholar
Al-Deeb, S. M., Yagub, B. A., Sharif, H. S., Phadke, J. G. (1989) Neurobrucellosis: clinical characteristics, diagnosis and outcome. Neurology 39: 498501.CrossRefGoogle ScholarPubMed
Al-Kawi, M. Z. (1989) Treatment of neurobrucellosis. Annals of Saudi Medicine 9: 230232.Google Scholar
Bahemuka, M. (1989) Chronic and other forms of neurobrucellosis. Annals of Saudi Medicine 9: 226227.Google Scholar
Bashir, R., Al-Kawi, M. Z., Harder, E. J., Jinkins, J. (1985) Nervous system brucellosis: diagnosis and treatment. Neurology 35: 15761581.CrossRefGoogle ScholarPubMed
Finham, R. W., Sahs, A. L., Joynt, R. J. (1963) Protean manifestation of nervous system brucellosis: case histories of a wide variety of clinical forms. Journal of the American MedicalAssociation 184: 269275.CrossRefGoogle Scholar
Gadelrab, M. O. (1989) Immunology of neurobrucellosis. Annals of Saudi Medicine 9: 224226.Google Scholar
Hudgson, P., Al-Bunyan, M. A. (1989) Polyradiculoneuropathy and cranial nerve involvement in brucellosis. Annals of Saudi Medicine 9: 221223.Google Scholar
Kamball, A. M., Mahagoub, E. S., Jamjoom, G. A., Choudry, M. H. (1983) Brucellosis in Riyadh, Saudi Arabia: a microbiological and clinical study. Transactions of the Royal Society of Tropical Medicine and Hygiene 7: 820824.CrossRefGoogle Scholar
Lulu, A. R., Araj, G. F., Khateeb, M. I., Mustafa, M. Y., Yusuf, A. R., Fenech, F. F. (1988) Human brucellosis in Kuwait – a prospective study of 400 cases. Quarterly Journal of Medicine 249: 3954.Google Scholar
Madkour, M. M., Mohammed, A. R. E., Talukder, M. A. S., Kudwah, A. J. N. (1985) Brucellosis in Saudi Arabia. Saudi Medical Journal 6: 324332.Google Scholar
Malabarey, T. M., Patel, P. J. (1989) Conventional radiology in neurobrucellosis. Annals of Saudi Medicine 9: 228230.Google Scholar
Mousa, A. R. M., Koshy, T. S., Araj, G. F., Marafie, A. A., Muhtaseb, S. A., Al-Mudallal, D. S., Busharetulla, M. S. (1986) Brucella meningitis: presentation, diagnosis and treatment: a prospective study of ten cases. Quarterly Journal of Medicine 233: 873885.Google Scholar
Shakir, R. A., Al-Din, A. S. N., Araj, G. F., Lulu, A. R., Mousa, A. R., Saadah, M. A. (1987) Clinical categories of neurobrucellosis – a report on 19 cases. Brain 110: 213223.CrossRefGoogle ScholarPubMed
Spink, W. W. (1952) Some biologic and clinical problems related to intracellular parasitism in brucellosis. New England Journal of Medicine 247: 603610.CrossRefGoogle ScholarPubMed
Spink, W. W. (1956) The Nature of Brucellosis, University of Minnesota Press, Minneapolis; pp 145190.Google Scholar
Spink, W. W. (1960) Current status of therapy of brucellosis in human being. Journal of the American Medical Association 172: 697.CrossRefGoogle Scholar
Wright, F J., Woodruff, A. W. (1984) Brucellosis. In Medicine in the Tropics. 2nd Edition, edited by (Woodruff, A. W., Wright, S. G., eds.), Churchill-Livingstone, Edinburgh, pp 284290.Google Scholar
Young, E. J. (1983) Human brucellosis. Review of Infectious Disease 5: 821 842.CrossRefGoogle ScholarPubMed