| Deafness due to haemorrhagic labyrinthitis and a review of relapses in Streptococcus suis meningitis. | |
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MedLine Citation:
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PMID: 20358139 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Deafness is a common and often permanent neurological sequel of Streptococcus (S.) suis meningitis. Suppurative labyrinthitis, rather than direct auditory nerve infection, has been found to be the site responsible for deafness. Neuroimaging is important to localise the site involved in hearing loss and to assess the feasibility of a cochlear implantation. S. suis is very sensitive to penicillin. Although a relapse of S. suis meningitis is uncommon, it can occur despite an adequate duration of appropriate antibiotic therapy. We describe a patient with S. suis meningitis, who developed permanent deafness from haemorrhagic labyrinthitis, as shown on magnetic resonance imaging. She suffered a relapse despite a seven-week course of intravenous antibiotics. A review on six cases of relapse reported in the literature shows that relapses occurred despite two to four weeks of antibiotics being administered to the patients. The clinical implications and treatment of relapse are discussed. |
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Authors:
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J H Tan; B I Yeh; C S R Seet |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: Singapore medical journal Volume: 51 ISSN: 0037-5675 ISO Abbreviation: Singapore Med J Publication Date: 2010 Feb |
Date Detail:
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Created Date: 2010-04-01 Completed Date: 2010-07-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0404516 Medline TA: Singapore Med J Country: Singapore |
Other Details:
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Languages: eng Pagination: e30-3 Citation Subset: IM |
Affiliation:
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Division of Neurology, Department of Medicine, National University Hospital, Singapore. june_tan@nuhs.edu.sg |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anti-Bacterial Agents / therapeutic use Ceftriaxone / therapeutic use Cochlea / physiopathology Cochlear Implants Female Hearing Loss / etiology*, physiopathology, therapy Hemorrhage / complications* Humans Labyrinthitis / complications* Magnetic Resonance Imaging Meningitis, Bacterial / complications* Recurrence Streptococcal Infections / complications*, drug therapy Streptococcus suis* |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents; 73384-59-5/Ceftriaxone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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