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Secondary, profound, sensorineural hearing loss after recovery from haemolytic uraemic syndrome due to enterohaemorrhagic Escherichia coli, and subsequent cochlear implantation, in two Japanese children

Published online by Cambridge University Press:  14 February 2013

S B Minami ,
H Takegoshi ,
Y Shinjo  and
K Kaga
S B Minami*
Affiliation:
National Institute of Sensory Organs, National Tokyo Medical Centre, Tokyo, Japan
H Takegoshi
Affiliation:
Department of Otolaryngology, International University of Health and Welfare, Mita Hospital, Tokyo, Japan
Y Shinjo
Affiliation:
National Institute of Sensory Organs, National Tokyo Medical Centre, Tokyo, Japan
K Kaga
Affiliation:
National Institute of Sensory Organs, National Tokyo Medical Centre, Tokyo, Japan Department of Otolaryngology, International University of Health and Welfare, Mita Hospital, Tokyo, Japan
*
Address for correspondence: Dr Shujiro B Minami, 2-5-1 Higashigaoka Meguro-ku, Tokyo 152-8902, Japan Fax: +81 3 3412 9811 E-mail: shujirominami@me.com
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Abstract

Objectives:

To describe two cases of profound hearing loss secondary to enterohaemorrhagic Escherichia coli infection, and to report the efficacy of subsequent cochlear implantation.

Results:

The first case was a four-year-old girl admitted to hospital with Escherichia coli O157 infection and haemolytic uraemic syndrome. Mild hearing loss was confirmed five months after discharge, progressing to profound loss three months later. At the age of seven years, she underwent cochlear implantation, with remarkable improvement in speech perception and production. The second case was a three-year-old boy admitted with haemolytic uraemic syndrome caused by Escherichia coli O111 infection. One year after disease onset, profound hearing loss was confirmed. Cochlear implantation at the age of five years produced significant recovery of auditory function.

Conclusion:

This study represents the first published report of secondary hearing loss after recovery from haemolytic uraemic syndrome caused by enterohaemorrhagic Escherichia coli. It indicates that cochlear implantation can restore hearing function in such patients.

Keywords

Escherichia Coli O157Cochlear ImplantsHemolytic-Uremic SyndromeHearing Loss
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 3 , March 2013 , pp. 306 - 310
Copyright
Copyright © JLO (1984) Limited 2013

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