A 55-year-old man on ICU has been treated for pneumococcal meningitis with IV ceftriaxone and IV dexamethasone. On day 3, he develops profound hearing...

Question

A 55-year-old man on ICU has been treated for pneumococcal meningitis with IV ceftriaxone and IV dexamethasone. On day 3, he develops profound hearing loss. What is the most likely cause?

Accepted Answer

Sensorineural hearing loss from pneumococcal meningitis - a well-recognised complication occurring in approximately 20-30% of bacterial meningitis survivors, caused by inflammation of the cochlea and labyrinth

Answer

Ceftriaxone ototoxicity

Answer

Dexamethasone-induced hearing loss

Answer

Middle ear effusion

Answer

Noise-induced hearing loss from ICU alarms

uk-fficm MCQ (SBA): Post-Meningitis Hearing Loss

A 55-year-old man on ICU has been treated for pneumococcal meningitis with IV ceftriaxone and IV dexamethasone. On day 3, he develops profound hearing loss. What is the most likely cause?