Intratympanic gentamicin therapy is a useful alternative treatment for refractory Meniere’s disease and is generally well tolerated. Visual disturbances as side effects of this treatment are rarely reported in the literature. In this report we describe the case of a 52-year-old woman with refractory Meniere’s disease who developed binocular vertical diplopia following intratympanic gentamicin therapy. Spontaneous resolution of diplopia occurred within 2 weeks. The development of diplopia should be discussed as a potential complication with patients undergoing intratympanic gentamicin therapy.
LEARNING POINTS
Meniere’s disease is an inner ear disorder which can cause vertigo and hearing loss.
As medical treatment sometimes fails, other therapeutic options should be considered.
Gentamycin chemical labyrinthectomy can be administered as an alternative treatment, but the development of diplopia should be discussed as a potential side effect.
Ignatzschineria larvae (I. larvae) is a bacterium found in the digestive tract of some flies. A few cases of bacteremia by I. larvae are described in the literature. We present the case of a patient with chronic leg ulcer and poor hygienic and social conditions, who presented with bacteremia from I. larvae. As there are few cases described in the literature, there are no guidelines yet for the treatment of this bacteremia. We report a short review of the literature below.
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