Abstract

This 16-year-old boy with a history of ulcerative colitis presented to the emergency room with an acute onset left greater than right sensorineural hearing loss. His symptoms were preceded by vertigo and tinnitus that began 2 weeks prior. The ulcerative colitis was incompletely controlled at the time, with increased fecal frequency and urgency. Evaluation for infections was negative. Autoimmune serology was nonspecific with only atypical antineutrophil cytoplasmic antibody positivity. An audiogram at initial presentation revealed moderate right and profound left hearing loss. A combination of intravenous methylprednisolone (2 mg/kg) and intratympanic dexamethasone injections (0.8 mL of 4 mL) initiated during the hospital visit and continued over the course of 2 years improved hearing to some extent. He eventually acquired a hearing aid for the right ear and a cochlear implant for the left.

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