Hemorrhagic Fever with Renal Syndrome Complicated by Cochlear Hemorrhage and Abducens Nerve Palsy.
- Author:
Kyu Hong KIM
1
;
Min Soo KIM
;
Seung Tae HAN
;
Jae Suk KIM
;
Byoung Geun HAN
;
Seung Ok CHOI
Author Information
1. Department of Internal Medicine, Yonsei University, Wouju College of Medicine, Wonju, Korea. neptune@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Hemorrhagic fever with renal syndrome;
Cochlear hemorrhage;
Abducens nerve palsy
- MeSH:
Abducens Nerve Diseases*;
Abducens Nerve*;
Acoustic Impedance Tests;
Cause of Death;
Deafness;
Diplopia;
Ear;
Fatigue;
Fever;
Hantaan virus;
Hearing Loss, Sensorineural;
Hemorrhage*;
Hemorrhagic Fever with Renal Syndrome*;
Humans;
Korea;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Renal Insufficiency;
Skin
- From:Korean Journal of Nephrology
2006;25(3):461-465
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hemorrhagic fever with renal syndrome (HFRS) is characterized clinically by the triad with fever, hemorrhage and renal failure. The hemorrhage in HFRS varies from transient petechial skin lesions to fulminant and massive internal bleeding. The latter can be an important cause of death in HFRS. A 52-year-old male was admitted to our hospital presenting with fatigue, fever, diplopia and right ear deafness. Rapid test for detecting Hantaan virus antibody was positive, so we diagnosed his case as HFRS. We also performed prism cover test, pure tone audiogram, tympanometry and temporal magnetic resonance imaging (MRI) for evaulate his diplopia and right ear deafness. Pure tone audiogram revealed right ear deafness and temporal MRI revealed right cochlear hemorrhage. After two weeks management, he recovered from HFRS and diplopia, but not from right ear deafness. We here report a case of hemorrhagic fever with renal syndrome complicated by sudden sensorineural hearing loss caused by cochlear hemorrhage and isolated abducens nerve palsy, which has not been submitted in Korea.
