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Clinical Pediatrics
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What's this?

Sudden-onset Deafness

Serodiagnosis of Recent Meningococcal Infection

Mark W. Kline

Department of Pediatrics, Division of Infectious Diseases, St. Louis University School of Medicine and Cardinal Glen-non Children's Hospital, St. Louis, Missouri

Carl E. Frasch

Laboratory of Bacterial Polysaccharides, Division of Bacterial Products, Center for Biologics Evaluation and Research, US Food and Drug Administration, Bethesda, Maryland

An 8.5-year-old boy was evaluated 3 weeks after the occurrence of a febrile illness associated with sudden-onset deafness. An extensive diagnostic evaluation was largely unrewarding. However, unusual epidemiologic features of the case and cerebrospinal fluid abnormalities suggested meningococcal meningitis as the probable etiology. Serologic studies confirmed recent meningococcal infection. The potential etiologies of sudden acquired deafness are diverse, but a thorough evaluation is warranted and may be rewarding, even if it is initiated weeks after onset of deafness.

Clinical Pediatrics, Vol. 28, No. 11, 529-532 (1989)
DOI: 10.1177/000992288902801108
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