Meningitis e hipoacusia neurosensorial por Rickettsia sp. en Perú: reporte de caso

Mario J. Agramonte; Stalin Vilcarromero; Zoila Núñez-Melgar

doi:10.17843/rpmesp.2024.413.13393

Authors

Mario J. Agramonte Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú https://orcid.org/0000-0003-1023-0689
Stalin Vilcarromero Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú https://orcid.org/0000-0002-9097-0638
Zoila Núñez-Melgar Hospital Nacional Edgardo Rebagliati Martins, Lima, Perú https://orcid.org/0000-0003-3306-2534

DOI:

https://doi.org/10.17843/rpmesp.2024.413.13393

Keywords:

Meningitis, Rickettsia Infections, Hearing Loss, Sensorineural

Abstract

We present the case of a young female health worker, resident in a high Andean region of Peru, with recent exposure to farm animals and arthropods, who developed acute febrile undifferentiated syndrome, severe thrombocytopenia and pulmonary and abdominal extravasation. Subsequently, the patient developed meningitis and early onset bilateral neurosensorial hypoacusis and showed reactive serology to acute infection by Rickettsia sp. Epidemiological and clinical considerations in the differential diagnosis for early management are discussed.

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