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. Turkish Başlık: Kuduz Aşısı Sonrasında Görülen Ani İşitme Kaybı Anahtar Kelimeler: Kuduz, aşılama, yan etki, ani işitme kaybı Arkaplan: İmmünizasyon sonrası ani işitme kaybı gelişmesi oldukça nadir görülen bir durumdur. Kuduz, ensefalit ve ölüm ile karakterize bir viral hastalıktır. Kuduz hastalığının tedavisinde aktif ve pasif immünizasyon bulunmaktadır. Literatürde kuduz immünizasyonu sonrası yan etki olarak rapor edilen nörolojik komplikasyonlar (Gullian Barre sendromu, fasiyel paralizi) bulunmaktadır. Olgu Sunumu: 11 yaşında erkek çocukta kuduz aşısı sonrasında gelişen ani işitme kaybı tespit edildi. Sonuç: Bu çalışmada kuduz aşısı sonrasında gelişen ani işitme kaybı olgusu(başka bir etiyolojik neden bulunamamıştır) sunulmakta ve klinik yaklaşım tartışılmaktadır.
Huang HH, Huang CC, Hsueh PY, Lee TJ. Bilateral sudden deafness following H1N1 vaccination. Otolaryngol Head Neck Surg 2010:143;849-50. [CrossRef]
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]
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]
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]
National Advisory Committee on Immunization (2006) Canadian Immunization Guide, Seventh Edition, Minister of Supply and Services, Canada
Crémieux G, Dor JF, Mongin M. Peripheral facial paralysis and post-antirabies-vaccination polyneuroradiculitis. Acta Neurol Belg 1978:78;279-300.
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] Hendekli CM. Current therapies in rabies. Arch Virol 2005:150;1047-57. [CrossRef]
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]
Sudden Hearing Loss after Rabies Vaccination
Yıl 2013,
Cilt: 2013 Sayı: 3, 327 - 328, 01.03.2013
Huang HH, Huang CC, Hsueh PY, Lee TJ. Bilateral sudden deafness following H1N1 vaccination. Otolaryngol Head Neck Surg 2010:143;849-50. [CrossRef]
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]
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]
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]
National Advisory Committee on Immunization (2006) Canadian Immunization Guide, Seventh Edition, Minister of Supply and Services, Canada
Crémieux G, Dor JF, Mongin M. Peripheral facial paralysis and post-antirabies-vaccination polyneuroradiculitis. Acta Neurol Belg 1978:78;279-300.
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] Hendekli CM. Current therapies in rabies. Arch Virol 2005:150;1047-57. [CrossRef]
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]