{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T11:52:58Z","timestamp":1785498778259,"version":"3.56.0"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2015,1,26]],"date-time":"2015-01-26T00:00:00Z","timestamp":1422230400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215114003417_sec1\"><jats:title>Background:<\/jats:title><jats:p>Lyme disease is an uncommon tick-borne multisystemic infection caused by<jats:italic>Borrelia burgdorferi<\/jats:italic>. The most common clinical manifestation is erythema migrans. In this report, a very unusual presentation of this condition is described, in which sudden onset sensorineural hearing loss was the sole presenting symptom.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215114003417_sec2\"><jats:title>Methods:<\/jats:title><jats:p>Case report and review of English-language literature.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215114003417_sec3\"><jats:title>Results:<\/jats:title><jats:p>A patient presented with sensorineural hearing loss, with no other symptoms or signs. Acute Lyme infection was detected by laboratory tests. Magnetic resonance imaging showed signs of labyrinthitis of the same inner ear. After hyperbaric oxygen and systemic antibiotic treatment, the patient showed total hearing recovery, and magnetic resonance imaging showed complete resolution of the labyrinthitis.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215114003417_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>To our knowledge, this is the first reported case of Lyme disease presenting only with sensorineural hearing loss. Borreliosis should be considered as an aetiological factor in sensorineural hearing loss. Adequate treatment may provide total recovery and prevent more severe forms of Lyme disease.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215114003417","type":"journal-article","created":{"date-parts":[[2015,1,26]],"date-time":"2015-01-26T06:29:50Z","timestamp":1422253790000},"page":"183-186","source":"Crossref","is-referenced-by-count":11,"title":["Lyme disease: sudden hearing loss as the sole presentation"],"prefix":"10.1017","volume":"129","author":[{"given":"C","family":"Espiney Amaro","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Montalv\u00e3o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Huins","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Saraiva","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2015,1,26]]},"reference":[{"key":"S0022215114003417_ref14","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.0903810106"},{"key":"S0022215114003417_ref6","doi-asserted-by":"publisher","DOI":"10.2807\/esm.11.10.00650-en"},{"key":"S0022215114003417_ref21","volume-title":"Handbook of Systemic Autoimmune Diseases, Vol 6. Pediatrics in Systemic Autoimmune Diseases","author":"Huppertz","year":"2003"},{"key":"S0022215114003417_ref2","doi-asserted-by":"publisher","DOI":"10.2807\/ese.16.27.19906-en"},{"key":"S0022215114003417_ref23","doi-asserted-by":"publisher","DOI":"10.1007\/s004059900206"},{"key":"S0022215114003417_ref8","first-page":"251","article-title":"Sudden hearing loss in 1997: etiopathogenic hypothesis, management, prognostic factors and treatment [in French]","volume":"114","author":"Mosnier","year":"1997","journal-title":"Ann Otolaryngol Chir Cervicofac"},{"key":"S0022215114003417_ref19","doi-asserted-by":"publisher","DOI":"10.3201\/eid1802.101219"},{"key":"S0022215114003417_ref13","doi-asserted-by":"publisher","DOI":"10.1097\/00129492-200503000-00004"},{"key":"S0022215114003417_ref9","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812436449"},{"key":"S0022215114003417_ref4","doi-asserted-by":"publisher","DOI":"10.1128\/AEM.71.11.7203-7216.2005"},{"key":"S0022215114003417_ref7","first-page":"529","article-title":"Prognosis and treatment of sudden sensorineural hearing loss","volume":"17","author":"Fetterman","year":"1996","journal-title":"Am J Otol"},{"key":"S0022215114003417_ref11","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198405000-00014"},{"key":"S0022215114003417_ref18","doi-asserted-by":"publisher","DOI":"10.1016\/j.ttbdis.2011.04.002"},{"key":"S0022215114003417_ref1","unstructured":"Centers for Disease Control and Prevention. Lyme Disease Data. In: http:\/\/www.cdc.gov\/lyme\/stats\/index.html [24 November 2014]"},{"key":"S0022215114003417_ref3","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1159\/000213069","article-title":"Epidemiology of Lyme borreliosis","volume":"37","author":"Hub\u00e1lek","year":"2009","journal-title":"Curr Probl Dermatol"},{"key":"S0022215114003417_ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s13244-011-0134-z"},{"key":"S0022215114003417_ref12","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1002\/lary.20873","article-title":"Systematic review of the evidence for the etiology of adult sudden sensorineural hearing loss","volume":"120","author":"Chau","year":"2010","journal-title":"Laryngoscope"},{"key":"S0022215114003417_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60103-7"},{"key":"S0022215114003417_ref22","first-page":"101","article-title":"Tired of Lyme borreliosis. Lyme borreliosis in the Netherlands","volume":"69","author":"Coumou","year":"2011","journal-title":"Neth J Med"},{"key":"S0022215114003417_ref5","first-page":"261","article-title":"Lyme disease in Portugal. Case report [in Portuguese]","volume":"12","author":"David de Morais","year":"1989","journal-title":"Revista Portuguesa de Doen\u00e7as Infecciosas"},{"key":"S0022215114003417_ref24","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199011223232102"},{"key":"S0022215114003417_ref10","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5540870515"},{"key":"S0022215114003417_ref20","doi-asserted-by":"publisher","DOI":"10.1186\/ar2853"},{"key":"S0022215114003417_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jinf.2011.03.006"},{"key":"S0022215114003417_ref15","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-0691.2011.03492.x"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215114003417","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T20:35:13Z","timestamp":1717706113000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215114003417\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,1,26]]},"references-count":25,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["S0022215114003417"],"URL":"https:\/\/doi.org\/10.1017\/s0022215114003417","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,1,26]]}}}