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Clinical Medicine Insights: Ear, Nose and Throat

Bilateral Spontaneous Hemotympanum Secondary to Chemotherapy-Induced Thrombocytopenia

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Clinical Medicine Insights: Ear, Nose and Throat 2013:6 17-20

Case report

Published on 27 Jun 2013

DOI: 10.4137/CMENT.S11885


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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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