title: ["Why am I Deaf and my Vision is Blurred?" Thinking of a Horse or a Zebra?].
abstract: We present the case of a 66 year old patient with a heterogeneous clinical course over ten months, particularly worsening of vision, hearing and hip pain. She finally died of multi-organ failure. The increased wear of a metal-on-metal hip implant lead to cobalt intoxication. The crucial therapy consists in removing the cobalt source. In the future, physicians need to be aware of this insidious and life-threatening disease possibly affecting thousands of patients after total hip replacement.
authors.affiliation: 1 Bereich Innere Medizin, Spital Schwyz.
authors.forename: Patrik
authors.initials: P
authors.lastname: Dolliana
authors.affiliation: 1 Bereich Innere Medizin, Spital Schwyz.
authors.forename: Reto
authors.initials: R
authors.lastname: Nüesch
mesh_terms: D000368:Aged; D018771:Arthralgia / Q000209:etiology*; D003035:Cobalt / Q000506:poisoning*; D003937:Diagnosis, Differential; D017809:Fatal Outcome; D005260:Female; D058006:General Practice; D034381:Hearing Loss / Q000139:chemically induced*; D006621:Hip Joint; D006622:Hip Prosthesis / Q000009:adverse effects; D006801:Humans; D009102:Multiple Organ Failure / Q000139:chemically induced; D011475:Prosthesis Failure / Q000009:adverse effects; D014786:Vision Disorders / Q000139:chemically induced* / Q000175:diagnosis
chemical_list: D003035:Cobalt
keywords: Hörstörungen; Hüftprothese; Kardiomyopathie; Kobalt; Sehstörungen; Vergiftung; cardiomyopathy; cobaltism; hearing loss; hip replacement; intoxication; visual loss