关键词: Ear, nose and throat/otolaryngology Paediatrics

Mesh : Adult Male Humans Adolescent Child Labyrinthitis / diagnosis etiology COVID-19 / complications SARS-CoV-2 Vertigo Acute Disease

来  源:   DOI:10.1136/bcr-2023-258290   PDF(Pubmed)

Abstract:
Audiovestibular symptoms following COVID-19 have been long acknowledged, especially in adults. However, acute labyrinthitis presenting as an early manifestation of COVID-19 has not been reported in children. We report COVID-19-induced acute labyrinthitis in a teenager. We report on a boy in his early adolescence with a sudden onset of spinning sensation, imbalance and unilateral hearing loss with a positive SARS-CoV-2 test. Vestibular investigations point towards right labyrinthine hypofunction, and an audiometry test revealed right-sided severe hearing loss. Symptoms improved gradually with steroids and vestibular rehabilitation therapy. However, the long-term repercussions of post-COVID-19 acute labyrinthitis are unknown and must be followed up closely. To our knowledge, this is the first reported case of acute labyrinthitis secondary to COVID-19 in paediatrics. Additionally, we conducted a literature search to elucidate the outcome of COVID-19-induced acute vestibular syndrome in children.
摘要:
COVID-19后的听觉前庭症状早已得到承认,尤其是成年人。然而,在儿童中尚未报告以COVID-19的早期表现表现为急性迷路炎。我们报告了COVID-19诱发的青少年急性迷路炎。我们报道了一个男孩在青春期早期突然出现旋转感,不平衡和单侧听力损失与SARS-CoV-2试验阳性。前庭检查指向右迷路功能减退,测听测试显示右侧严重听力损失。使用类固醇和前庭康复治疗,症状逐渐改善。然而,COVID-19后急性迷路炎的长期影响尚不清楚,必须密切随访.据我们所知,这是儿科首例COVID-19继发的急性迷路炎病例.此外,我们进行了文献检索,以阐明COVID-19诱发的儿童急性前庭综合征的结局.
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