Lyme neuroborreliosis as a cause of sudden sensorineural hearing loss and facial palsy

We present a case of sudden sensorineural hearing loss and rapidly progressive facial palsy in a female patient in her 40s with no, apparently, notable past medical or surgical history. Investigations revealed a positive serology for B. burgdoferi and the MRI allowed us to identify suggestive signs...

Descripción completa

Detalles Bibliográficos
Autores principales: Nitro, Letizia, Martino, Barbara, Fuccillo, Emanuela, Felisati, Giovanni, Saibene, Alberto Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552548/
https://www.ncbi.nlm.nih.gov/pubmed/36245466
http://dx.doi.org/10.1002/ccr3.6412
_version_ 1784806273122828288
author Nitro, Letizia
Martino, Barbara
Fuccillo, Emanuela
Felisati, Giovanni
Saibene, Alberto Maria
author_facet Nitro, Letizia
Martino, Barbara
Fuccillo, Emanuela
Felisati, Giovanni
Saibene, Alberto Maria
author_sort Nitro, Letizia
collection PubMed
description We present a case of sudden sensorineural hearing loss and rapidly progressive facial palsy in a female patient in her 40s with no, apparently, notable past medical or surgical history. Investigations revealed a positive serology for B. burgdoferi and the MRI allowed us to identify suggestive signs of Lyme meningitis with multiple cranial nerve involvement. After diagnosis, the patient was treated with intravenous ceftriaxone with a full recovery of sensorineural deafness and facial palsy. This case report highlights the importance of collecting a complete medical history in all cases of facial palsy and sudden hearing loss while presenting an infrequent clinical presentation of early disseminated Lyme disease with neuroborreliosis.
format Online
Article
Text
id pubmed-9552548
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher John Wiley and Sons Inc.
record_format MEDLINE/PubMed
spelling pubmed-95525482022-10-14 Lyme neuroborreliosis as a cause of sudden sensorineural hearing loss and facial palsy Nitro, Letizia Martino, Barbara Fuccillo, Emanuela Felisati, Giovanni Saibene, Alberto Maria Clin Case Rep Case Report We present a case of sudden sensorineural hearing loss and rapidly progressive facial palsy in a female patient in her 40s with no, apparently, notable past medical or surgical history. Investigations revealed a positive serology for B. burgdoferi and the MRI allowed us to identify suggestive signs of Lyme meningitis with multiple cranial nerve involvement. After diagnosis, the patient was treated with intravenous ceftriaxone with a full recovery of sensorineural deafness and facial palsy. This case report highlights the importance of collecting a complete medical history in all cases of facial palsy and sudden hearing loss while presenting an infrequent clinical presentation of early disseminated Lyme disease with neuroborreliosis. John Wiley and Sons Inc. 2022-10-11 /pmc/articles/PMC9552548/ /pubmed/36245466 http://dx.doi.org/10.1002/ccr3.6412 Text en © 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Nitro, Letizia
Martino, Barbara
Fuccillo, Emanuela
Felisati, Giovanni
Saibene, Alberto Maria
Lyme neuroborreliosis as a cause of sudden sensorineural hearing loss and facial palsy
title Lyme neuroborreliosis as a cause of sudden sensorineural hearing loss and facial palsy
title_full Lyme neuroborreliosis as a cause of sudden sensorineural hearing loss and facial palsy
title_fullStr Lyme neuroborreliosis as a cause of sudden sensorineural hearing loss and facial palsy
title_full_unstemmed Lyme neuroborreliosis as a cause of sudden sensorineural hearing loss and facial palsy
title_short Lyme neuroborreliosis as a cause of sudden sensorineural hearing loss and facial palsy
title_sort lyme neuroborreliosis as a cause of sudden sensorineural hearing loss and facial palsy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9552548/
https://www.ncbi.nlm.nih.gov/pubmed/36245466
http://dx.doi.org/10.1002/ccr3.6412
work_keys_str_mv AT nitroletizia lymeneuroborreliosisasacauseofsuddensensorineuralhearinglossandfacialpalsy
AT martinobarbara lymeneuroborreliosisasacauseofsuddensensorineuralhearinglossandfacialpalsy
AT fuccilloemanuela lymeneuroborreliosisasacauseofsuddensensorineuralhearinglossandfacialpalsy
AT felisatigiovanni lymeneuroborreliosisasacauseofsuddensensorineuralhearinglossandfacialpalsy
AT saibenealbertomaria lymeneuroborreliosisasacauseofsuddensensorineuralhearinglossandfacialpalsy

Ejemplares similares