title: Successful implantation of a cochlear implant in a four-yr-old boy after kidney transplantation: a case report.
abstract: Sensorineural hearing loss is common in children with chronic renal insufficiency. The implantation of a CI is performed routinely in children with profound sensorineural hearing loss. A feared complication is a local infection with subsequent meningitis. Because of this risk, a successful implantation of a CI in children under immunosuppression after kidney transplantation has yet to be described. A four-yr-old boy with congenital renal dysplasia and posterior urethral valves, who was successfully transplanted with a kidney from his father at the age of two and a half yr, is presented. The boy had profound bilateral hearing loss before transplantation, most likely due to ototoxic antibiotic medication and long-term furosemide use. A hearing aid was insufficient; therefore, a CI was performed 20 months after the transplantation and no complications occurred in the 24 months of follow-up. This is the first report of a successful CI in a child after kidney transplantation.
authors.affiliation: Department of Pediatrics, Medical University Innsbruck, Innsbruck, Austria.
authors.forename: G
authors.initials: G
authors.lastname: Cortina
authors.forename: S
authors.initials: S
authors.lastname: Wiesmayr
authors.forename: T
authors.initials: T
authors.lastname: Jungraithmayr
authors.forename: D
authors.initials: D
authors.lastname: Roussinow
authors.forename: D
authors.initials: D
authors.lastname: Nekahm-Heis
authors.forename: P
authors.initials: P
authors.lastname: Zorowka
authors.forename: L B
authors.initials: LB
authors.lastname: Zimmerhackl
mesh_terms: D001299:Audiometry; D002675:Child, Preschool; D019929:Cochlear Implantation / Q000379:methods*; D003054:Cochlear Implants; D006319:Hearing Loss, Sensorineural / Q000150:complications / Q000601:surgery*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy*; D016030:Kidney Transplantation / Q000379:methods*; D008297:Male; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D007166:Immunosuppressive Agents