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Reversible sensorineural hearing loss in Lyme disease
S J Quinn1, B J Boucher, J B Booth
1Academic Medical Unit, London Hospital Medical College, UK.
The Journal of Laryngology and Otology
|June 1, 1997
Summary
Late Borrelia burgdorferi infection caused bilateral sensorineural hearing loss in a patient. Prompt antibiotic treatment led to a full recovery from deafness and neurological symptoms.
Area of Science:
- Neurology
- Infectious Diseases
- Otolaryngology
Background:
- Lyme disease, caused by Borrelia burgdorferi, is a tick-borne illness.
- Neurological manifestations of Lyme disease can be diverse and sometimes delayed.
Observation:
- A 39-year-old woman presented with a two-year history of bilateral sensorineural hearing loss.
- She also experienced other neurological complaints, developing six months after a characteristic 'target' lesion on her leg following exposure in the New Forest.
Findings:
- Serological tests confirmed Borrelia burgdorferi infection.
- The patient achieved complete resolution of hearing loss and neurological symptoms after a five-week course of oral antibiotics.
Implications:
- This case highlights the potential for late-onset neurological Lyme disease, specifically sensorineural hearing loss.
- Early diagnosis and appropriate antibiotic therapy are crucial for managing neurological complications of Borrelia burgdorferi infection.