A case is described of sudden unilateral deafness associated with Mycoplasma pneumoniae. The hearing function of the patient returned to normal on the third day of treatment with tetracycline. M pneumoniae is a common causative agent of protean respiratory disease and the true incidence of hearing loss in these cases may be higher than reflected by the occasional reports. Therefore, appropriate laboratory studies should be included in the evaluation of sensorineural loss associated with diverse infections of the respiratory tract. Prompt diagnosis facilitates the administration of specific treatment. However, the actual contribution of tetracyclines to restoration of hearing cannot be assessed.
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References
1.
ClydeWA. Neurological syndromes and mycoplasmal infection. Arch Neurol1980; 37: 65–6.
2.
LindKZoffmannHLarsenSOJessenO. Mycoplasma pneumoniae infection associated with affection of the central nervous system. Acta Med Scand1979; 205: 325–32.
3.
LererRJKalavskySM. Central nervous system disease associated with Mycoplasma pneumoniae infection: Report of five cases and review of the literature. Pediatrics1973; 52: 658–68.
4.
JachuckSJThorpeCGClarkFFosterJB. A brainstem syndrome associated with Mycoplasma pneumoniae infection — A report of two cases. Postgrad Med J1975; 51: 475–7.
5.
HodgesGRFassRJSaslawS. Central nervous system disease associated with Mycoplasma pneumoniae infection. Arch Intern Med1972; 130: 277–82.
6.
FoyHMKennyGEMcMahanR. Mycoplasma pneumoniae pneumonia in an urban area: Five years of surveillance. JAMA1970; 214: 1666–72.
7.
RifkindDChanockRKravetzHJohnsonKKnightV. Ear involvement (myringitis) and primary atypical pneumonia following inoculation of volunteers with Eaton agent. Am Rev Respir Dis1962; 85: 479.
8.
Van DishoeckHAE. Viral infection in two cases of sudden perceptive deafness. Acta Otolaryngol (Stockh)1963; Suppl 183: 30–3.
9.
RowsonKEKHinchcliffeRGambleDR. A virological and epidemiological study of patients with acute hearing loss. Lancet1975; 1: 471–3.
10.
JaffeBF. Viral causes of sudden inner ear deafness. Otolaryngol Clin North Am1978; 11: 63–9.
11.
ShanonEGoldSHimelfarbMZ. Assessment of functional integrity of brain stem auditory pathways by stimulus stress. Audiology1981; 20: 65–71.
12.
ArcherDB. Pathogenic mechanisms of mycoplasmas. Nature1974; 277: 268.
13.
RothsteinTLKennyGE. Cranial neuropathy, myeloradiculopathy and myositis: Complication of Mycoplasma pneumoniae infection. Arch Neurol1979; 36: 476–7.
14.
SchuknechtHFKimuraRSNaufalPM. The pathology of sudden deafness. Acta Otolaryngol (Stockh)1973; 76: 75–97.
15.
FriedmannI. Cochlear pathology in viral disease. Adv Otorhinolaryngol1973; 20: 155–77.
