Progressive hearing loss following acquired cytomegalovirus infection in an immunocompromised child.
We report a rare case of progressive hearing loss after acquired CMV infection in a child with Langerhans cell histiocytosis (LCH). A 5-month-old female was diagnosed as having LCH. When she was 14 months old, she received an unrelated donor umbilical cord blood transfusion for the treatment of intractable LCH. CMV infection was confirmed after the blood transfusion. Because her own umbilical cord had no CMV, the CMV infection was not congenital. When she was 7 years old, mixed hearing loss was noted with bilateral otitis media with effusion. After that time, the sensorineural hearing loss progressed to bilateral profound hearing loss over 3 years. Three-dimensional fluid-attenuated inversion recovery magnetic resonance imaging with gadolinium contrast enhancement revealed a high intensity area in the inner ear that suggested bilateral labyrinthitis. This case demonstrates the possibility that, under the immunodeficiency, the acquired CMV infection causes progressive sensorineural hearing loss.
Department of Otorhinolaryngology, Nagoya University Graduate School of Medicine, 65, Tsurumai-cho, Showa-ku, Nagoya, Japan. katoken@med.nagoya-u.ac.jp
Ken
K
Kato
Hironao
H
Otake
Mitsuhiko
M
Tagaya
Yoshiyuki
Y
Takahashi
Yoshinori
Y
Ito
Asahito
A
Hama
Hideki
H
Muramatsu
Seiji
S
Kojima
Shinji
S
Naganawa
Tsutomu
T
Nakashima
D000956:Antigens, Viral / Q000032:analysis; D003587:Cytomegalovirus / Q000235:genetics / Q000276:immunology; D003586:Cytomegalovirus Infections / Q000150:complications* / Q000821:virology; D004279:DNA, Viral / Q000032:analysis; D018450:Disease Progression; D005260:Female; D006309:Hearing; D006312:Hearing Loss, Bilateral / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D006319:Hearing Loss, Sensorineural / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D016867:Immunocompromised Host; D007223:Infant
D000956:Antigens, Viral; D004279:DNA, Viral