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KMID : 0361020220650120829
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Korean Journal of Otolaryngology - Head and Neck Surgery
2022 Volume.65 No. 12 p.829 ~ p.833
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A Case of Bilateral Sudden Sensorineural Hearing Loss Accompanying Unilateral Acute Otitis Media as a First Presentation of Human Immunodeficiency Virus Infection
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Lee Chan-Mi
Yeo Cha-Dong
Lee Eun-Jung
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Abstract
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The etiologies of sudden sensorineural hearing loss (SSNHL) include idiopathic, viral infections,vascular occlusion, abnormal cellular stress responses within the cochlea, and a varietyof immune-mediated mechanisms. Although idiopathic cause is most common, many studieshave proposed a possible association between SSNHL and viral infections, including herpessimplex virus, human immunodeficiency virus (HIV), rubella, mumps, and so on. Particularly,various mechanisms underlying auditory dysfunction in the HIV/acquired immune deficiencysyndrome have been proposed. Herein, we present the case of a 35-year-old male diagnosedwith sudden hearing loss on both sides and left acute otitis media, presenting first in theleft ear, in which subsequent serological examination revealed HIV infection. It is a case ofHIV infection diagnosed after identifying the involvement of the 8th cranial nerve as the firstsymptom in the absence of any other HIV infection-associated symptoms.
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KEYWORD
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HIV infection, Otitis media, Otology, Sudden hearing loss
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