Otologic Manifestations of Lyme Disease

Sataloff, Johnathan; Sataloff, Robert T.

doi:10.1007/978-3-642-23499-6_861

Cited by 4 publications

(3 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition to vertigo, Lyme disease can cause a range of otologic symptoms due to its effects on the outer, middle, and inner ear structures. Sensorineural hearing loss, tinnitus, and even facial palsy have been attributed to Lyme disease [18]. While symptoms may resolve with appropriate antibiotic treatment, some patients may experience long-term sequelae.…”

Section: Mimics Of Meniere's Diseasementioning

confidence: 99%

“…One hypothesis is that otologic manifestations of Lyme disease are thought to be related to inflammation and damage to the inner ear and facial nerve. These include direct damage from the spirochete, immune-mediated injury to otologic structures, and other factors such as inflammation, vascular changes, and nerve damage [18]. Lyme disease sequelae can mimic symptoms of Meniere's disease, making it difficult to discern a proper diagnosis.…”

Section: Mimics Of Meniere's Diseasementioning

confidence: 99%

“…One theory postulates there may be a viral etiology of Meniere's disease, with evidence implicating acute or persistent viral infections such as herpes simplex virus (HSV), cytomegalovirus (CMV), Epstein Barr virus (EBV), influenza virus, adenovirus (AV), Coxsackie virus B, measles and Varicella Zoster virus (VZV) [12–16]. Furthermore, infectious diseases such as neurosyphilis and Lyme disease can mimic Meniere's disease, presenting with similar symptoms and complicating the diagnosis and management of the condition [17 ▪ ,18,19]. Additionally, autoimmune disorders such as systemic lupus erythematosus and rheumatoid arthritis may also serve as Meniere's disease mimics [20].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Infectious causes and mimickers of meniere's disease

Kurtzman

Sioshansi

2023

Current Opinion in Otolaryngology &Amp; Head &Amp; Neck Surgery

View full text Add to dashboard Cite

Purpose of review To review the evidence of a possible viral etiology of Meniere's disease, the role of antiviral therapy, as well as other infectious disease processes that may mimic Meniere's disease. Better understanding of the etiology of Meniere's disease and the role of various infectious disease processes may allow for more effective diagnosis and management. Recent findings There is evidence that viral infections – to Herpes simplex virus, cytomegalovirus, Epstein Barr virus, influenza, adenovirus, Coxsackie virus B, and Varicella Zoster Virus – may be involved in the development of Meniere's disease, however the evidence is inconsistent and the underlying mechanism remains theoretical. Nevertheless, antiviral therapy may be effective for a subset of patients with Meniere's disease. Lastly, other infectious diseases including Lyme disease and syphilis can present with symptoms similar to Meniere's disease. It is important to discern these from Meniere's disease to determine the appropriate treatment. Summary There is a paucity of high-quality evidence to support a viral etiology of Meniere's disease, and the current evidence appears circumstantial and inconsistent. Additional research is necessary to establish the mechanism and causative pathogens. Antiviral therapy may provide therapeutic benefit for a subset of patients with Meniere's disease. Furthermore, clinicians should be aware of other infectious mimics of Meniere's disease and include them in the differential diagnosis of patients presenting with Meniere's-like symptoms. Research on this subject continues to evolve, and data from these studies represent a growing repository of evidence that can be used to guide clinical decision-making.

show abstract

Section: Mimics Of Meniere's Diseasementioning

confidence: 99%

Section: Mimics Of Meniere's Diseasementioning

confidence: 99%