Spirochetes in otology

Are we testing for the right pathogens?

Waleed M. Abuzeid, Michael J. Ruckenstein

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Objective: To determine the prevalence rate of otosyphilis and Lyme-associated labyrinthine disease among patients presenting with idiopathic, progressive sensorineural hearing loss and, thus, to provide recommendations regarding the diagnostic workup. Study Design: A prospective cohort study of patients presenting to a university hospital otology clinic with idiopathic, progressive sensorineural hearing loss between 1998 and 2006. Subjects and Methods: Cases in which hearing loss was clearly attributable to other causes were excluded, leaving 181 patients (mean age 55.6 years). History, physical examination, autoimmune laboratory tests, syphilis and Lyme serology, audiometric assessment, and MRI were performed in all cases. Results: Nine cases (4.9%) of otosyphilis and none of Lyme disease were diagnosed by serological tests. Conclusion: Routine serological testing for otosyphilis, but not Lyme disease, is recommended for all cases of idiopathic, progressive sensorineural hearing loss.

Original languageEnglish (US)
Pages (from-to)107-109
Number of pages3
JournalOtolaryngology - Head and Neck Surgery
Volume138
Issue number1
DOIs
StatePublished - Jan 2008
Externally publishedYes

Fingerprint

Spirochaetales
Sensorineural Hearing Loss
Otolaryngology
Lyme Disease
Serologic Tests
Serology
Syphilis
Hearing Loss
Physical Examination
Cohort Studies
History
Prospective Studies

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Spirochetes in otology : Are we testing for the right pathogens? / Abuzeid, Waleed M.; Ruckenstein, Michael J.

In: Otolaryngology - Head and Neck Surgery, Vol. 138, No. 1, 01.2008, p. 107-109.

Research output: Contribution to journalArticle

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