| Should we routinely screen for Lyme disease in patients with asymmetrical hearing loss? | |
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MedLine Citation:
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PMID: 7841889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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H Richardson; J P Birchall; J Hill; T McMaster |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: British journal of audiology Volume: 28 ISSN: 0300-5364 ISO Abbreviation: Br J Audiol Publication Date: 1994 Apr |
Date Detail:
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Created Date: 1995-03-08 Completed Date: 1995-03-08 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0357321 Medline TA: Br J Audiol Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 59-61 Citation Subset: IM |
Affiliation:
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Department of Otolaryngology, Freeman Hospital, Newcastle upon Tyne, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Antibodies, Bacterial / blood Borrelia burgdorferi Group / immunology Child Cost-Benefit Analysis Diagnosis, Differential England / epidemiology Female Hearing Loss / epidemiology*, etiology Humans Lyme Disease / diagnosis, epidemiology* Male Mass Screening* / economics Middle Aged Prospective Studies |
| Chemical | |
Reg. No./Substance:
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0/Antibodies, Bacterial |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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