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Jose was diagnosed in the newborn period with congenital cytomegalovirus infection because of a distinctive rash and liver enlargement. As part of the initial work-up, he had a full audiological assessment and was found to have mild to moderate sensorineural hearing loss. He was appropriately fitted with hearing aids by 6 months of age and tolerated the aids well. His first words emerged when he was 16 months old and he progressed steadily in language development for 2–3 years. However, repeat audiological testing at age 36 months revealed a moderate to moderately severe hearing loss. At that point, his parents began learning sign language and he became bilingual in spoken and signed language. By the time he was 5 years old, he was enrolled in a special education program for children with hearing impairment and deafness because his hearing continued to deteriorate. Though he was able to speak, he easily became fatigued in verbal environments when he had no interpreter for sign...
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The authors would like to thank Jody Winzelberg, AuD, for her contributions in reviewing the section on hearing.
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Feldman, H.M., Salinas, M.A., Tang, B.G. (2012). Sensory Disorders. In: Elzouki, A.Y., Harfi, H.A., Nazer, H.M., Stapleton, F.B., Oh, W., Whitley, R.J. (eds) Textbook of Clinical Pediatrics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-02202-9_44
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