Korean J Nephrol.  2006 May;25(3):461-465.

Hemorrhagic Fever with Renal Syndrome Complicated by Cochlear Hemorrhage and Abducens Nerve Palsy

• Kim KH
• Kim MS
• Han ST
• Kim JS
• Han BG
• Choi SO

Abstract

Hemorrhagic fever with renal syndrome (HFRS) is characterized clinically by the triad with fever, hemorrhage and renal failure. The hemorrhage in HFRS varies from transient petechial skin lesions to fulminant and massive internal bleeding. The latter can be an important cause of death in HFRS. A 52-year-old male was admitted to our hospital presenting with fatigue, fever, diplopia and right ear deafness. Rapid test for detecting Hantaan virus antibody was positive, so we diagnosed his case as HFRS. We also performed prism cover test, pure tone audiogram, tympanometry and temporal magnetic resonance imaging (MRI) for evaulate his diplopia and right ear deafness. Pure tone audiogram revealed right ear deafness and temporal MRI revealed right cochlear hemorrhage. After two weeks management, he recovered from HFRS and diplopia, but not from right ear deafness. We here report a case of hemorrhagic fever with renal syndrome complicated by sudden sensorineural hearing loss caused by cochlear hemorrhage and isolated abducens nerve palsy, which has not been submitted in Korea.

Keyword

Hemorrhagic fever with renal syndrome; Cochlear hemorrhage; Abducens nerve palsy

MeSH Terms

Abducens Nerve Diseases*
Abducens Nerve*
Acoustic Impedance Tests
Cause of Death
Deafness
Diplopia
Ear
Fatigue
Fever
Hantaan virus
Hearing Loss, Sensorineural
Hemorrhage*
Hemorrhagic Fever with Renal Syndrome*
Humans
Korea
Magnetic Resonance Imaging
Male
Middle Aged
Renal Insufficiency
Skin