Estimation of hearing impairment occurrence in patients with Lyme borreliosis – preliminary study
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Department of Infectious Diseases and Hepatology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland
Department of Otorhinolaryngology and Oncological Laryngology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland
ENT-Clinic – Gaertner-Klinik, Munich, Germany
Barbara Oczko-Grzesik   

Department of Infectious Diseases and Hepatology, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia, Katowice, Poland, al. Legionów 49, 41-902 Bytom, Poland
Ann. Acad. Med. Siles. 2018;72:164–171
Lyme borreliosis (LB) is the most common tick-borne human disease. The objective of the study was to carry out preliminary evaluation of the incidence of hearing impairments in LB patients.

Material and methods:
Audiometric tests were carried out on 66 patients with diagnosed LB (aged between 18 and 45 years). All the women and men were divided into two major groups: 1 – early, disseminated LB and 2 – late LB; among them subgroups of Lyme neuroborreliosis (LNB) were distinguished. The hearing organ was diagnosed on the basis of tonal audiometry, extended high-frequency tonal audiometry (up to 18 kHz), impedance audiometry and speech audiometry tests.

Abnormal results of the audiometric tests were recorded in 66.7% of patients. The statistical analysis indicates a significant role of borrelial infection (p = 0.017). Most of those were in patients suffering from late stages of the disease, both in patients with LB and LNB.

The study revealed the occurrence of hearing impairment of different degrees in more than one half of the patients with LB, especially in the late stages of the disease. The results indicate the necessity for further comprehensive studies, considering hearing and balance disorders in the course of LB, comprising larger groups of patients.

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