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Bilateral Spontaneous Hemotympanum

Posted Fri, Jun, 28,2013

Published today in Clinical Medicine Insights: Ear, Nose and Throat is a new case report by Peter Wong, Caroline Xu, Nahla Gomaa and Allan Ho.  Read more about this paper below:

Title

Bilateral Spontaneous Hemotympanum Secondary to Chemotherapy-Induced Thrombocytopenia

Abstract

Objective: To present a case of spontaneous, bilateral hemotympanum secondary to chemotherapy-induced thrombocytopenia.

Methods: Case report and review of the literature.

Results: Bilateral spontaneous hemotympanum is an exceedingly rare event. We present the first case of nontraumatic bilateral hemotympanum secondary to chemotherapy-induced thrombocytopenia in a patient with acute myelogenous leukemia. The patient presented with a 7-day history of progressive bilateral hearing loss and a platelet count of 10 × 109/L after receiving his first dose of induction chemotherapy. A small, left-sided subdural hematoma was present in this patient though no extra-aural sources of bleeding to explain the bilateral hemotympanum were identified.

Conclusion: Full resolution of symptoms was achieved with conservative management.

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