Profile of patients assessed for cochlear implants

Barbosa, Maria Helena de Magalhães; Felix, Felippe; Ribeiro, Márcia Gonçalves; Tomita, Shiro; Pinheiro, Cintia Carneiro; Baptista, Monica Machado

doi:10.1016/j.bjorl.2014.05.011

Cited by 10 publications

(8 citation statements)

References 16 publications

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“…As with other forms of bacterial meningitis, the best outcomes are likely to be obtained by early recognition and rapid administration of parenteral antibiotics, combined administration of dexamethasone patients with a history of porcine exposure, and in regions with a high prevalence of S.suis meningitis [7]. Referral to the Otorhinolaryngologist for audiometry and vestibular testing may be needed including early evaluation for cochlear implant [8]. …”

Section: Discussionmentioning

confidence: 99%

Case report: two human Streptococcus suis infections in Borneo, Sabah, Malaysia

et al. 2017

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Background Streptococcus Suis (S.suis) is increasingly being recognised as a potentially preventable emerging zoonotic infection in humans with a global distribution. It is a major cause of meningitis especially among those in contact with pigs and has also been associated with a toxic shock syndrome.Case presentationsWe report the first two human cases from Sabah, Borneo, Malaysia which expands the global reach of this important pathogen. Here, we illustrate their epidemiological risk factors, clinical presentation and resulting sequelae of both patients.ConclusionThe continued public health threat of zoonotic infections such as S.suis, highlights the need for accurate epidemiological surveillance, regulation of pig farming, slaughtering and continued advocacy of best practices for pork preparation and consumption.

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Section: Discussionmentioning

confidence: 99%

Case report: two human Streptococcus suis infections in Borneo, Sabah, Malaysia

et al. 2017

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“…For patients with meningitis in whom S . suis is identified, it is important to consult the otorhinolaryngologist early in the clinical course for audiometry and evaluate whether cochlear implantation is possible [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Streptococcus suis Meningitis: A Systematic Review and Meta-analysis

et al. 2015

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Background Streptococcus suis is the most common cause of meningitis in pork consuming and pig rearing countries in South-East Asia. We performed a systematic review of studies on S. suis meningitis to define the clinical characteristics, predisposing factors and outcome.MethodologyStudies published between January 1, 1980 and August 1, 2015 were identified from main literature databases and reference lists. Studies were included if they were written in West-European languages and described at least 5 adult patients with S. suis meningitis in whom at least one clinical characteristic was described.FindingsWe identified 913 patients with S. suis meningitis included in 24 studies between 1980 and 2015. The mean age was 49 years and 581 of 711 patients were male (82%). Exposure to pigs or pork was present in 395 of 648 patients (61%) while other predisposing factors were less common. 514 of 528 patients presented with fever (97%), 429 of 451 with headache (95%), 462 of 496 with neck stiffness (93%) and 78 of 384 patients (20%) had a skin injury in the presence of pig/pork contact. The case fatality rate was 2.9% and hearing loss was a common sequel occurring in 259 of 489 patients (53%). Treatment included dexamethasone in 157 of 300 (52%) of patients and was associated with reduced hearing loss in S. suis meningitis patients included in a randomized controlled trial.Conclusion S. suis meningitis has a clear association with pig and pork contact. Mortality is low, but hearing loss occurs frequently. Dexamethasone was shown to reduce hearing loss.

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“…Meningitis and use of ototoxic drugs are among the other few identifiable causes of prelingual hearing loss. 8 Studies have shown that children with severe hearing impairment have multiple associated language and behavioral problems. 9 Depression and stress disorders are also more common in deaf children as compared with their non-deaf peers.…”

Section: Introductionmentioning

confidence: 99%

“…Meningitis and use of ototoxic drugs are among the other few identifiable causes of prelingual hearing loss. 8 …”

Section: Introductionmentioning

confidence: 99%

Precochlear Implant Assessment: Clinical Profile and Family History of Children with Severe Bilateral Prelingual Hearing Loss

Raza

Waris

Akhtar

et al. 2020

Int Arch Otorhinolaryngol

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Introduction The prevalence of deafness is high in Pakistan. Knowledge regarding the clinical features of patients with profound hearing loss will not only help identify the cause but will also help in the strategic planning for public health interventions. Objective The present study was conducted to cover in detail the clinical aspects of children with hearing loss, that is, age at presentation, associated deficits and disorders, possible cause of the disease, associated family history, and role of consanguineous marriage. Methods The present study was performed from November 2016 to September 2018. All of the patients under 6 years of age with profound bilateral hearing loss who would benefit from cochlear implantation were included in the study. Detailed history was taken. The developmental skills were assessed for all areas, and the patients were scored regarding their motor, manipulative, visual, language, social and self-care skills according to the Schedule of Growing Skills II. Detailed family history was taken from the parents of the affected children. The Statistical Package for the Social Sciences (SPSS) software, version 20.0, was used for the statistical analysis. Results The mean age of the children to be treated was 3.2 ± 1.25 years. Most patients (51.5%) had a positive family history of disease. Consanguineous marriage was common; the parents of 76.9% of the patients were first-degree relatives. Most patients (90.8%) had associated language impediments. In total, four (Ł3.07%) patients had global developmental delay. Conclusion Consanguineous marriage pattern plays an important role in diseases running in families. Development in these children is strongly linked to their age at the consultation.

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Profile of patients assessed for cochlear implants

Cited by 10 publications

References 16 publications

Case report: two human Streptococcus suis infections in Borneo, Sabah, Malaysia

Case report: two human Streptococcus suis infections in Borneo, Sabah, Malaysia

Streptococcus suis Meningitis: A Systematic Review and Meta-analysis

Precochlear Implant Assessment: Clinical Profile and Family History of Children with Severe Bilateral Prelingual Hearing Loss

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