STEPHEN DOLAN, M.D.; E. DALE EVERETT, M.D.; LISA RENNER, M.A.
To the editor; Hearing loss is reported infrequently as a symptom associated with Rocky Mountain spotted fever (1, 2). We have recently seen such a patient in whom hearing loss was documented by audiometry to be a bilateral, moderate sensorineural deficit.
A 21-year-old man was hospitalized with a 10-day history of fever, headache, and myalgias. Four days earlier he had noted diminished auditory acuity without tinnitus. He had recently traveled through North Carolina and recalled a tick bite. Examination showed a temperature of 39.4 °C, right subconjunctival hemorrhage, and maculopapular rash involving the palms, soles, and abdomen. Otoscopic findings were
DOLAN S, DALE EVERETT E, RENNER L. Hearing Loss in Rocky Mountain Spotted Fever. Ann Intern Med. ;104:285. doi: 10.7326/0003-4819-104-2-285_1
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Published: Ann Intern Med. 1986;104(2):285.
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