Isolated Sudden Bilateral Neurosensory Hearing Loss as a Presentation of Lyme Neuroborreliosis: A Case Study.

IF 1.1 Q3 OTORHINOLARYNGOLOGY

Journal of Audiology and Otology Pub Date : 2024-01-01 Epub Date: 2023-12-07 DOI:10.7874/jao.2023.00129

Sara Rochd, Othmane Benhoummad, Salma Salhi, Youssef Lakhdar, Youssef Rochdi, Abdelaziz Raji, Hamza Oualhadj, Youssef El Kamouni, Said Zouhair

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引用次数: 0

Abstract

Lyme neuroborreliosis (LNB) is a rare but potentially serious manifestation of Lyme disease, caused by the spirochete Borrelia burgdorferi. Although LNB can affect various neurological systems, neurosensory hearing loss as the sole presentation is uncommon. We report a case of a 23-year-old woman who presented with a 2-month history of temporal headache, tinnitus, and instability, which was followed by sudden bilateral hearing loss without any other associated symptoms. Pure-tone audiometry revealed profound bilateral hearing loss. Serological testing for various pathogens was negative, except for B. burgdorferi IgM, which was confirmed using Western blot analysis. The patient received doxycycline treatment; unfortunately, no recovery of hearing was observed. This case report highlights the importance of considering LNB as a potential cause of neurosensory hearing loss, particularly in areas where Lyme disease is endemic, as well as the need for timely diagnosis and treatment to prevent potential complications.

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孤立性突发性双侧神经性听力损失是莱姆神经源性疾病的一种表现形式：病例研究。

莱姆神经瘫痪症（LNB）是莱姆病的一种罕见但潜在的严重表现，是由博氏螺旋体引起的。虽然 LNB 可影响各种神经系统，但以神经听觉丧失为唯一表现的情况并不常见。我们报告了一例 23 岁女性的病例，她出现颞部头痛、耳鸣和不稳定症状 2 个月，随后突然出现双侧听力损失，但没有任何其他相关症状。纯音测听结果显示，双侧听力损失严重。各种病原体的血清学检测结果均为阴性，只有布氏菌 IgM 通过 Western 印迹分析得到了证实。患者接受了强力霉素治疗，但不幸的是，听力没有恢复。本病例报告强调了将 LNB 作为神经听力损失的潜在病因的重要性，尤其是在莱姆病流行的地区，同时也强调了及时诊断和治疗以预防潜在并发症的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Audiology and Otology OTORHINOLARYNGOLOGY-

CiteScore

1.90

自引率

9.10%

发文量

期刊介绍： Journal of Audiology and Otology (JAO) (formerly known as Korean Journal of Audiology) aims to publish the most advanced findings for all aspects of the auditory and vestibular system and diseases of the ear using state-of-the-art techniques and analyses. The journal covers recent trends related to the topics of audiology, otology, and neurotology conducted by professionals, with the goal of providing better possible treatment to people of all ages, from infants to the elderly, who suffer from auditory and/or vestibular disorders and thus, improving their quality of life. This journal encourages the submission of review papers about current professional issues, research papers presenting a scientific base and clinical application, and case papers with unique reports or clinical trials. We also invite letters to the editor and papers related to the manufacture and distribution of medical devices. This journal provides integrated views from otologists, audiologists, and other healthcare practitioners, offering readers high quality scientific and clinical information. This peer-reviewed and open access journal has been the official journal of the Korean Audiological Society since 1997 and of both the Korean Audiological Society and the Korean Otological Society since 2017. It is published in English four times a year in January, April, July, and October.