Document Detail

Should we routinely screen for Lyme disease in patients with asymmetrical hearing loss?
MedLine Citation:
PMID:  7841889     Owner:  NLM     Status:  MEDLINE    
Asymmetrical sensorineural hearing loss is usually investigated thoroughly but a diagnosis is often elusive. It is important to identify any treatable causes. Lyme disease is a tick-borne infection caused by the spirochaete Borrelia burgdorferi, which has been shown to cause asymmetrical sensorineural hearing loss, and has been successfully treated. Its incidence varies regionally; it occurs where there is a suitable environment for the tick and its animal hosts. We conducted a prospective study of 100 patients with asymmetrical sensorineural hearing loss. Serological testing for Lyme disease was performed. One patient had positive serology, but there was no improvement in her hearing following antibiotic treatment. We cannot conclude that our patient's hearing loss was caused by Lyme disease. We suggest that routine screening is not cost effective in regions with a low incidence of Lyme disease.
H Richardson; J P Birchall; J Hill; T McMaster
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of audiology     Volume:  28     ISSN:  0300-5364     ISO Abbreviation:  Br J Audiol     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1995-03-08     Completed Date:  1995-03-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0357321     Medline TA:  Br J Audiol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  59-61     Citation Subset:  IM    
Department of Otolaryngology, Freeman Hospital, Newcastle upon Tyne, UK.
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MeSH Terms
Aged, 80 and over
Antibodies, Bacterial / blood
Borrelia burgdorferi Group / immunology
Cost-Benefit Analysis
Diagnosis, Differential
England / epidemiology
Hearing Loss / epidemiology*,  etiology
Lyme Disease / diagnosis,  epidemiology*
Mass Screening* / economics
Middle Aged
Prospective Studies
Reg. No./Substance:
0/Antibodies, Bacterial

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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