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Reversible sensorineural hearing loss in Lyme disease

Published online by Cambridge University Press:  29 June 2007

S. J. Quinn ,
B. J. Boucher  and
J. B. Booth
S. J. Quinn
Affiliation:
Department of Otolaryngology, The Royal London Hospital, London, UK.
B. J. Boucher
Affiliation:
Academic Medical Unit, The London Hospital Medical College, The Royal London Hospital, London, UK.
J. B. Booth*
Affiliation:
Department of Otolaryngology, The Royal London Hospital, London, UK.
*
Address for correspondence: Mr J. B. Booth, ENT Department, Royal London Hospital, London El 1BB.
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Abstract

We report a case of bilateral sensorineural hearing loss of two years duration which appears to have been due to late Borrelia burgdorferi infection. The 39-year-old woman presented with bilateral deafness and multiple other neurological complaints some six months after developing a ‘target’ lesion on the lower leg after walking in the New Forest. Serology for Borrelia burgdorferi became positive and the patient made a complete recovery from both her deafness and her other neurological problems after a five-week course of oral antibiotic therapy.

Keywords

Hearing loss, sensorineuralLyme disease
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 6 , June 1997 , pp. 562 - 564
Copyright
Copyright © JLO (1984) Limited 1997

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References

Asbrink, E., Olsson, I., Hovmark, A., Carlsson, B. (1985) Tick-borne spirochaetes as a cause of facial palsy. Clinical Otolaryngology 10: 279–284.CrossRefGoogle ScholarPubMed
Curtin, S. M., Pennington, T. H. (1995) The diagnosis of Lyme disease. Journal of the Royal Society of Medicine 88: 248–250.Google ScholarPubMed
Hanner, P., Rosenhall, U., Edstrom, S., Kaijser, B. (1989) Hearing impairment in patients with antibody production against Borrelia burgdorferi antigen. Lancet (i): 13–15.CrossRefGoogle ScholarPubMed
Kaiser, R. (1995) Intrathecal immune response in patients with neuroborreliosis: specificity of antibodies for neuronal proteins. Journal of Neurology 242: 319–325.CrossRefGoogle ScholarPubMed
Lim, L. C., England, D. M., DuChateau, B. K., Glowacki, N. J., Schell, R. F. (1995) Borrelia burgdorferi-specific T lymphocytes induce severe destructive Lyme arthritis. Infection and Immunity 63: 1400–1408.CrossRefGoogle ScholarPubMed
Logigian, F. L., Kaplan, R. F., Steere, A. C. (1990) Chronic neurologic manifestations of Lyme disease. New England Journal of Medicine 323: 1438–1444.CrossRefGoogle ScholarPubMed
Moscatello, A. L., Worden, D. L., Nadelman, R. B., Wormser, G., Lucente, F. (1991) Otolaryngologic aspects of Lyme disease. Laryngoscope 101: 592–595.CrossRefGoogle ScholarPubMed
Muhlemann, M. F., Wright, D. J. M. (1987) Emerging pattern of Lyme disease in the United Kingdom and Irish Republic. Lancet (i): 260–262.CrossRefGoogle ScholarPubMed
O'Connell, S. (1995) Lyme disease in the United Kingdom. British Medical Journal 310: 303–308.CrossRefGoogle ScholarPubMed
Pachner, A. R., Delaney, F., O'Neill, T., Major, E. (1995) Inoculation of nonhuman primates with the N40 strain of Borrelia burgdorferi leads to a model of Lyme neuroborreliosis faithful to the human disease. Neurology 45: 165–172.CrossRefGoogle Scholar
Pfister, H. W., Wilske, B., Weber, K. (1994) Lyme borreliosis: basic science and clinical aspects. Lancet 343: 1013–1016.CrossRefGoogle ScholarPubMed
Sigal, L. H. (1993) Cross-reactivity between Borrelia burdorferi flagellin and a human axonal 64 000 molecular weight protein. Journal of Infectious Diseases 167: 1372–1378.CrossRefGoogle Scholar
Steere, A. C., Malawista, S. E., Snydman, D. R., Shope, R. E., Andiman, W. A., Ross, M. R., Steele, F. M. (1977) Lyme arthritis: an epidemic of oligoarticular arthritis in children and adults in three Connecticut communities. Arthritis and Rheumatism 20 7–17.CrossRefGoogle ScholarPubMed