Background Cortical deafness is an unusual occurrence caused by injury to the central auditory pathway but not to the hearing organ. This paper reports the first case of cortical deafness as a sequel of recurrent stroke in a patient with prosthetic heart valves and atrial fibrillation in Asia. Case presentation A 40-year-old man with a history of atrial fibrillation and valvular heart disease comes with weakness on the right side of the body and slurred speech. Examination showed hemiplegia with increased d-dimer and activated partial thromboplastin time. (APTT). Brain MRI showed multiple subacute infarctions in the temporal lobe. Diffusion Tensor Imaging (DTI) tractography showed no visible auditory tract. Pure tone audiogram and brainstem auditory evoked potential test was normal, but speech reception threshold test was very poor. The patient has been diagnosed with recurrent ischemic stroke with sequel cortical deafness and received anticoagulant therapy and speech therapy. The patient reported minimal subjective impairment 1 month later with no further neurological deterioration. Conclusions A multidisciplinary clinical approach is needed in patients with cortical deafness, especially distinguishing it from other central hearing losses.

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Background: Incidence of ventilator-associated pneumonia (VAP) is common in intensive care unit (ICU). This pneumonia, becomes important due to its association to increased length of hospital stay, increased costs, and increased mortality. Irrational administration of antibiotics can lead to development of bacterial resistance. The objective of this study was to describe the pattern of bacteria and the susceptibility of VAP patients. Methods: A descriptive study was carried out to 10 medical records of VAP patients in the ICU at Dr. Hasan Sadikin General Hospital, Bandung in January-June 2014. Microbiological culture results and antibiotics susceptibility testing of patients' sputum were identified and the collected data were analyzed in form of tables and percentages by using a computer program.