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Bilateral Sensorineural Hearing Loss in the Setting of Acute Methamphetamine Overdose
Journal article   Open access   Peer reviewed

Bilateral Sensorineural Hearing Loss in the Setting of Acute Methamphetamine Overdose

Jeremy S. Reich, Harleen K. Sethi and Robert T. Sataloff
Ear, nose, & throat journal, pp 1455613211069353-1455613211069353
29 Dec 2021
PMID: 34965172
url
https://doi.org/10.1177/01455613211069353View
Published, Version of Record (VoR)CC BY-NC V4.0 Open

Abstract

Life Sciences & Biomedicine Otorhinolaryngology Science & Technology
Substance abuse is a rare but known cause of sensorineural hearing loss (SNHL). We report a case of acute SNHL in a 28-year-old man following an overdose of methamphetamine and incidental ingestion of fentanyl. On initial encounter, he had moderate-to-severe hearing loss in the right ear and severe-to-profound hearing loss in the left ear in addition to acute kidney injury, liver failure, and lactic acidosis. The patient was treated with a two-week course of high-dose steroids and expressed a subjective improvement in hearing. This case highlights the importance of auditory testing following a drug overdose and is one of the only documented cases of hearing loss following methamphetamine use in recent years. There is a paucity of literature regarding the mechanism causing acute SNHL secondary to methamphetamines. Proposed etiologies include neurotransmitter depletion or reduced cochlear blood flow as possible causes of ototoxicity.

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3 citations in Scopus

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Collaboration types
Domestic collaboration
Web of Science research areas
Otorhinolaryngology
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