摘要:

We encountered 2 patients with bilateral hearing loss due to the mumps virus in one and the varicella-zoster virus in the other. Each virus was identified by a serological test, and virus-specific IgG and IgM antibodies were detected in the sera. In both patients, hearing loss on the contralateral side occurred a few days after that on the initially affected side, but vestibular function was normal. Although therapy included the administration of steroids, antiviral agents and hyperbaric oxygen, the bilateral hearing loss remained unchanged in these 2 patients. Both required the use of a hearing aid after discharge.

ISSN:0301-1569    

DOI:10.1159/000276821

出版商:S. Karger AG    

年代:1996

数据来源: Karger

摘要:

Over a period of 12 months 3 patients presented with severe tonsillitis and subsequently grew Fusobacteriumnecrophorum (literally – spindle-shaped rod which brings death!) from blood cultures. Two patients responded well to antibiotics and were discharged within 4 days of admission. The third case had a longer history of symptoms and following investigations of a minor but unusual neck swelling was found to have thrombosis of the external and internal jugular vein. This is the first stage in the potentially fatal dissemination of this virulent organism which manifests clinically as Lemierre’s syndrome. We describe the clinical histories and discuss whether cases are unrecognised because of the prompt clinical response to penicillin and metronidazole. We stress the importance of taking blood cultures and careful examination ofthe neck in all patients presenting with a severe tonsilli

ISSN:0301-1569    

DOI:10.1159/000276822

出版商:S. Karger AG    

年代:1996

数据来源: Karger

ISSN:0301-1569    

DOI:10.1159/000276833

出版商:S. Karger AG    

年代:1996

数据来源: Karger