Reversible sensorineural hearing loss in Lyme disease

Quinn, S. J.; Boucher, Barbara J.; Booth, J. B.

doi:10.1017/s0022215100137910

Cited by 18 publications

(20 citation statements)

References 12 publications

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“…In addition, even prospective studies may be biased and prone to interpretive error because not all patients can be studied at the same stage of the disease [14]. A few case reports have shown a beneficial effect of antimicrobial treatment on the recovery of sudden SHL in patients with LB [28,36]. In our study antimicrobial treatment did not, however, affect the audiological outcome of patients.…”

Section: Discussionmentioning

confidence: 61%

“…We believe that LB is a rare but recognizable cause of sudden SHL. Borreliosis can be present with sudden SHL or sudden SHL may be part of the clinical findings due to LB [16,22,28,36] The causal relationship between sudden SHL and the underlying spirochetal infection is difficult to verify, however. The published series concerning LB in patients with sudden SHL are too small and altogether limited in number.…”

Section: Discussionmentioning

confidence: 99%

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Lyme borreliosis, an etiological factor in sensorineural hearing loss?

Peltomaa¹,

Pyykkö

Seppälä

et al. 2000

European Archives of Oto-Rhino-Laryngology

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The incidence of Lyme borreliosis was studied prospectively in 165 patients with acute idiopathic sensorineural hearing loss. The prevalence of positive levels of antibodies against Borrelia burgdorferi was sixfold higher in patients with sensorineural hearing loss than in the general population in Finland. Four patients fulfilled the criteria for Lyme borreliosis. No specific risk factors were found with which to predict the occurrence of Lyme borreliosis among patients with hearing loss. In logistic regression modeling the poor outcome of hearing loss was best explained by advanced age, high-frequency or flat-type hearing loss, and absence of positive levels of antibodies against B. burgdorferi. Although the causal relationship between Lyme borreliosis and sensorineural hearing loss is difficult to verify, we suggest that Lyme borreliosis is a rare but potentially treatable cause of sudden deafness. We propose that in endemic areas antibodies against Lyme borreliosis should be determined in patients with idiopathic sensorineural hearing loss.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Lyme borreliosis, an etiological factor in sensorineural hearing loss?

Peltomaa¹,

Pyykkö

Seppälä

et al. 2000

European Archives of Oto-Rhino-Laryngology

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“…1,2 In patients who live in or have travelled through endemic areas, (bilateral) facial nerve palsy (especially in childhood) and (bilateral) sudden hearing loss should prompt the otolaryngologist to consider Lyme disease in the differential diagnosis (although still rare). 7 Neuroborreliosis can arise at any time during the course of Lyme borreliosis. Early neuroborreliosis typically features aseptic meningitis and involvement of the cranial and peripheral nerves.…”

Section: Introductionmentioning

confidence: 99%

“…When confronted with unclear skin lesions and/or other unusual symptoms, especially facial nerve palsy and/or sudden hearing loss, the otolaryngologist should not hesitate to include Lyme disease in the differential diagnosis Although the causal relationship between Lyme borreliosis and sensorineural hearing loss is difficult to verify, Lyme neuroborreliosis is a rare but potentially treatable cause of sudden deafness and/or vestibular neuronitis. 7 It can be accompanied by musical or other auditory hallucinations. 9 …”

Section: Introductionmentioning

confidence: 99%

A non-traumatic, blue-purple auricle: case report

et al. 2009

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Objective: We report a typical case of earlobe lymphocytoma.Method: A case report and literature review are presented. Results: A 10-year-old girl presented with a blue-coloured earlobe. A diagnosis of Lyme disease was confirmed by serological tests. Lyme borreliosis is the most common tick-borne disease in the northern hemisphere. It is caused by the spirochete Borrelia burgdorferi sensu lato. The patient was successfully treated with antibiotics.Conclusion: The diagnostic process and ENT symptomatology of Lyme disease and borrelial lymphocytoma are summarised and discussed.

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“…This may lead to the misdiagnosis of Lyme disease, especially in areas where it is endemic. As infection with Borrelia is treatable with antibiotics and ear dysfunction can be reversible (11,12), it is worth keeping in mind the possibility of Lyme disease. Left untreated, Borrelia can cause cranial neuropathies in 47-82% of cases (2) and even progressive chronic meningoencephaliti s (3).…”

Section: Introductionmentioning

confidence: 99%

Use of Electrocochleography for Assessing Endolymphatic Hydrops in Patients with Lyme Disease and Me´nie`re's Disease

Selmani

Pyykkö

Ishizaki

et al. 2002

Acta Oto-Laryngologica

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From an otological standpoint, Lyme disease can manifest itself as Ménière's disease both clinically and electrophysiologically. The aim of this study was to describe the findings of routine clinical, auditory and vestibular tests in patients with Ménière's and Lyme disease and to use electrocochleography (ECoG) to assess the presence of endolymphatic hydrops (EH) in both diseases. Transtympanic ECoG was performed in 91 patients with Ménière's disease and in 11 patients with confirmed Lyme disease. In both diseases the majority of patients had more than one complaint. There was one case with isolated hearing loss in the Lyme disease group. Typical clinical manifestations of Ménière's disease (vertigo, sensorineural hearing loss and tinnitus) were found in 6/11 patients (54.5%) in the Lyme disease group. The ECoG results indicated that there were 65/91 patients (71.4%) with Ménière's disease and 5 patients (45.5%) with Lyme disease who presented with EH. No statistically significant difference was found between the incidence of different symptoms of Ménière's and Lyme disease. On the basis of these results, patients with Lyme disease should undergo careful examination and investigation, especially in endemic regions. The presence of EH does not exclude the presence of infection with borreliosis as a cause of Ménière's disease-like symptoms.

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Reversible sensorineural hearing loss in Lyme disease

Cited by 18 publications

References 12 publications

Lyme borreliosis, an etiological factor in sensorineural hearing loss?

Lyme borreliosis, an etiological factor in sensorineural hearing loss?

A non-traumatic, blue-purple auricle: case report

Use of Electrocochleography for Assessing Endolymphatic Hydrops in Patients with Lyme Disease and Me´nie`re's Disease

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