Rapid progressive bilateral hearing loss due to granulomatous otitis media in Lyme disease.
Journal: 2013/October - American Journal of Otolaryngology - Head and Neck Medicine and Surgery
ISSN: 1532-818X
Abstract:
We report on a patient with Lyme disease who presented with chronic bilateral otitis media and cranial neuropathy with rapid progressive hearing loss. After ceftriaxone and high-dose intravenous immunoglobulins, the disease was controlled only with methylprednisolone and cyclophosphamide. The relationship between Lyme disease and granulomatous vasculitis is discussed. Lyme disease should be kept in mind in the differential diagnosis of various otolaryngological and neurological presentations.
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