Diagnosis of AML Due to Sudden Onset Hearing Loss

Authors

  • Shahreen Fatema Kumu Indoor Medical Officer, Dhaka Medical College and Hospital, Dhaka
  • Abdus Salam Assistant Registrar, Dhaka Medical College and Hospital, Dhaka
  • Nadia Jaman Medical Officer, Dhaka Medical College & Hospital, Dhaka
  • Md Shahabul Huda Chowdhury Associate Professor and unit head, Dhaka Medical College, Dhaka

DOI:

https://doi.org/10.3329/jom.v26i2.84378

Keywords:

AML, Hearing loss

Abstract

A male patient of 24 years old presented with bilateral hearing loss for 15 days, which was associated with headache and dizziness. Another complaint was two episodes of hemoptysis and a single episode of haematemesis a week back. On examination, the patient was found severely anaemic, with vitals within normal range; no organomegaly or lymphadenopathy was found. Microscopic examination of the ear revealed bilateral hemotympanum, and Pure Tone Audiometry showed moderate to severe conductive hearing loss in both ears. The department of ENT suggested Conservative management, and in case of an inadequate treatment response, myringotomy was advised as a further course of action. The patient responded well to the former one. Meanwhile, in routine laboratory investigations, hemoglobin was found to be very low (Hb: 3 mg/dL) with a high number of blast cells (85%) in the peripheral blood film. A bone marrow study and other relevant investigations suggested by hematology confirmed the diagnosis of Acute Myeloid Leukemia (AML), which prompted the initiation of guideline-based treatment.

J MEDICINE 2025; 26(2): 173

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Published

2025-09-28

How to Cite

Kumu, S. F., Salam, A., Jaman, N., & Chowdhury, M. S. H. (2025). Diagnosis of AML Due to Sudden Onset Hearing Loss. Journal of Medicine, 26(2), 173. https://doi.org/10.3329/jom.v26i2.84378

Issue

Vol. 26 No. 2 (2025)

Section

Clinical Image

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