Sudden Secondary Sensorineural Hearing Loss Following Hand, Foot, and Mouth Disease in an Adult Patient: A Case Report.
Jingjing Yuan, Mingsheng Zhang, Zhanfeng Yan et al.
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Case in brief
A 34-year-old man developed sudden right-sided hearing loss four days after the onset of hand, foot, and mouth disease (HFMD). Tinnitus, ear fullness, and a sensation of head heaviness occurred at the same time. His illness had begun with a two-day fever, reaching 39.4°C, followed by oral vesicles and papules on his hands and feet after exposure to his child with HFMD. The report describes sudden sensorineural hearing loss following HFMD; the supplied abstract does not state the diagnostic work-up, treatment, or hearing outcome.
What made this case unusual
The reported presentation links sudden sensorineural hearing loss in an adult temporally to HFMD, an illness that preceded the hearing symptoms by four days.
Diagnostic / clinical pearl
In a patient with sudden hearing loss, recent viral illness may be relevant to the diagnostic history; this case describes onset after HFMD.