Fevzi Sefa DEREKÖY, Oğuz GÜÇLÜ

Sudden Hearing Loss after Rabies Vaccination

Background: Sudden hearing loss developing after immunisation is a very rare situation. Rabies is a viral disease characterised by encephalitis and death. Treatment involves active and passive immunisation. Neurologic complications including Guillain-Barre syndrome or facial paralysis are reported in the literature as a side effect after rabies immunisation.Case Report: Sudden hearing loss was detected in an 11 year-old male patient who had taken the medication for rabies immunisation. Conclusion: This study presents a case report of sudden hearing loss developing after rabies immunisation - no other aetiological factors were detected and clinical management is discussed in light of the literature.

PDF

___

1. Huang HH, Huang CC, Hsueh PY, Lee TJ. Bilateral sudden deafness following H1N1 vaccination. Otolaryngol Head Neck Surg 2010:143;849-50. [CrossRef]
2. Kaga K, Ichimura K, Ihara M. Unilateral total loss of auditory and vestibular function as a complication of mumps vaccination. Int J Pediatr Otorhinolaryngol 1998:43;73-5. [CrossRef]
3. Orlando MP, Masieri S, Pascarella MA, Ciofalo A, Filiaci F. Sudden Hearing Loss in Childhood Consequent to Hepatitis B Vaccination. Ann N Y Acad Sci 1997:830;319-21. [CrossRef]
4. Asatryana A, Poolb V, Chenb RT, Kohlb KS, Davis RL, Iskanderb JK. Live attenuated measles and mumps viral strain-containing vaccines and hearing loss: Vaccine Adverse Event Reporting System (VAERS), United States, 1990-2003. Vaccine 2008;26:1166-72. [CrossRef]
5. National Advisory Committee on Immunization (2006) Canadian Immunization Guide, Seventh Edition, Minister of Supply and Services, Canada
6. Crémieux G, Dor JF, Mongin M. Peripheral facial paralysis and post-antirabies-vaccination polyneuroradiculitis. Acta Neurol Belg 1978:78;279-300.
7. Mattner F, Bitz F, Goedecke M, Viertel A, Kuhn S, Gastmeier P, et al. Adverse effects of rabies preand postexposure prophylaxis in 290 Health-care-workers exposed to a rabies infected organ donor or transplant recipients. Infection 2007;35:219-24. [CrossRef]
8. Hendekli CM. Current therapies in rabies. Arch Virol 2005:150;1047-57. [CrossRef]
9. Dobardzic A, Izurieta H, Woo EJ, Iskander J, Shadomy S, Rupprecht C, et al. Safety review of the purified chick embryo cell rabies vaccine: Data from the Vaccine Adverse Event Reporting System (VAERS), 1997-2005. Vaccine 2007;25:4244-51. [CrossRef]