Sensorineural Hearing Loss Caused by NSAID-Induced Aseptic Meningitis
Aseptic meningitis is a rare complication of nonsteroidal anti-inflammatory drug (NSAID) use. Otologic symptoms may include sensorineural hearing loss and tinnitus. A 66-year-old woman sought the care of an otologist for sudden bilateral sensorineural hearing loss and a substantial increase in basel...
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| Veröffentlicht in: | Ear, nose, & throat journal nose, & throat journal, 1998-10, Vol.77 (10), p.820-826 |
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| creator | Davison, Steven P. Marion, Mitchell S. |
| description | Aseptic meningitis is a rare complication of nonsteroidal anti-inflammatory drug (NSAID) use. Otologic symptoms may include sensorineural hearing loss and tinnitus. A 66-year-old woman sought the care of an otologist for sudden bilateral sensorineural hearing loss and a substantial increase in baseline tinnitus. The patient had previously undergone a left tympanoplasty secondary to cholesteatoma and had been treated for atypical face pain with Ibuprofen taken every six hours for three months. Magnetic resonance imaging (MRI) with gadolinium demonstrated abnormal enhancement of the dura mater and the surrounding basal cisterns, with extension of enhancing dura mater into the internal auditory canals. Cerebrospinal fluid examination revealed evidence of aseptic meningitis. An audiogram confirmed new bilateral sensorineural hearing loss. Hearing loss and tinnitus resolved and no abnormalities were observed with MRI when nonsteroidal anti-inflammatory medication was discontinued.
Otolaryngologists are well aware of the otologic sequelae in patients with meningitis. However, NSAIDs need to be considered as possible causal agents in the evaluation of meningitis with otologic symptoms. |
| doi_str_mv | 10.1177/014556139807701008 |
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Otolaryngologists are well aware of the otologic sequelae in patients with meningitis. However, NSAIDs need to be considered as possible causal agents in the evaluation of meningitis with otologic symptoms.</description><subject>Aged</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - adverse effects</subject><subject>Audiometry, Pure-Tone - methods</subject><subject>Biological and medical sciences</subject><subject>Brain - pathology</subject><subject>Drug toxicity and drugs side effects treatment</subject><subject>Female</subject><subject>Hearing Loss, Sensorineural - diagnosis</subject><subject>Hearing Loss, Sensorineural - etiology</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Medical sciences</subject><subject>Meningitis, Aseptic - chemically induced</subject><subject>Meningitis, Aseptic - complications</subject><subject>Meningitis, Aseptic - pathology</subject><subject>Pharmacology. Drug treatments</subject><subject>Toxicity: respiratory system, ent, stomatology</subject><issn>0145-5613</issn><issn>1942-7522</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp9kMFOwzAMhiMEGmPwAkhIFeJaZidN0xynMdikAYfBuUpbd-q0tSNpD3t7Mq2CAxInW_bn3_bP2C3CI6JSY8BIyhiFTkApQIDkjA1RRzxUkvNzNjwC4ZG4ZFfObQB8IcYBG-gEEynEkM1WVLvGVjV11myDORmfr4Nl41wwNZ2jIsgOwdtqsngKF3XR5b4wcbRvqzx4pdqzVVu5a3ZRmq2jmz6O2Ofz7GM6D5fvL4vpZBnmAnQbZpGRuSoS4jEqEoqXiEUsdME1kDYyMSIizRNZalA8k4XPyUSRFDHqDLUYsfuT7t42Xx25Nt00na39ypSDjhCETDzET1Bu_ReWynRvq52xhxQhPfqW_vXND931yl22o-JnpDfK9x_6vnG52ZbW1HnlfpWlBlDSY-MT5syafo_7Z_E3aO9_Kg</recordid><startdate>199810</startdate><enddate>199810</enddate><creator>Davison, Steven P.</creator><creator>Marion, Mitchell S.</creator><general>SAGE Publications</general><general>Medquest Communications</general><general>SAGE PUBLICATIONS, INC</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>199810</creationdate><title>Sensorineural Hearing Loss Caused by NSAID-Induced Aseptic Meningitis</title><author>Davison, Steven P. ; Marion, Mitchell S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c309t-b4a5c7d8e2617e372f11d639d290e9a58a34e9285f9072b5d928ea4453619b193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Aged</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - adverse effects</topic><topic>Audiometry, Pure-Tone - methods</topic><topic>Biological and medical sciences</topic><topic>Brain - pathology</topic><topic>Drug toxicity and drugs side effects treatment</topic><topic>Female</topic><topic>Hearing Loss, Sensorineural - diagnosis</topic><topic>Hearing Loss, Sensorineural - etiology</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Medical sciences</topic><topic>Meningitis, Aseptic - chemically induced</topic><topic>Meningitis, Aseptic - complications</topic><topic>Meningitis, Aseptic - pathology</topic><topic>Pharmacology. Drug treatments</topic><topic>Toxicity: respiratory system, ent, stomatology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davison, Steven P.</creatorcontrib><creatorcontrib>Marion, Mitchell S.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>Ear, nose, & throat journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davison, Steven P.</au><au>Marion, Mitchell S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sensorineural Hearing Loss Caused by NSAID-Induced Aseptic Meningitis</atitle><jtitle>Ear, nose, & throat journal</jtitle><addtitle>Ear Nose Throat J</addtitle><date>1998-10</date><risdate>1998</risdate><volume>77</volume><issue>10</issue><spage>820</spage><epage>826</epage><pages>820-826</pages><issn>0145-5613</issn><eissn>1942-7522</eissn><coden>ENTJDO</coden><abstract>Aseptic meningitis is a rare complication of nonsteroidal anti-inflammatory drug (NSAID) use. Otologic symptoms may include sensorineural hearing loss and tinnitus. A 66-year-old woman sought the care of an otologist for sudden bilateral sensorineural hearing loss and a substantial increase in baseline tinnitus. The patient had previously undergone a left tympanoplasty secondary to cholesteatoma and had been treated for atypical face pain with Ibuprofen taken every six hours for three months. Magnetic resonance imaging (MRI) with gadolinium demonstrated abnormal enhancement of the dura mater and the surrounding basal cisterns, with extension of enhancing dura mater into the internal auditory canals. Cerebrospinal fluid examination revealed evidence of aseptic meningitis. An audiogram confirmed new bilateral sensorineural hearing loss. Hearing loss and tinnitus resolved and no abnormalities were observed with MRI when nonsteroidal anti-inflammatory medication was discontinued.
Otolaryngologists are well aware of the otologic sequelae in patients with meningitis. However, NSAIDs need to be considered as possible causal agents in the evaluation of meningitis with otologic symptoms.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>9818533</pmid><doi>10.1177/014556139807701008</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Anti-Inflammatory Agents, Non-Steroidal - adverse effects Audiometry, Pure-Tone - methods Biological and medical sciences Brain - pathology Drug toxicity and drugs side effects treatment Female Hearing Loss, Sensorineural - diagnosis Hearing Loss, Sensorineural - etiology Humans Magnetic Resonance Imaging Medical sciences Meningitis, Aseptic - chemically induced Meningitis, Aseptic - complications Meningitis, Aseptic - pathology Pharmacology. Drug treatments Toxicity: respiratory system, ent, stomatology |
| title | Sensorineural Hearing Loss Caused by NSAID-Induced Aseptic Meningitis |
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