Evidence map›Paper›PMID 39391966›Full record

ArticleAnnals of medicine2024

Sensorineural hearing loss in Lyme neuroborreliosis.

Elisa Skovgaard Jensen, Per Cayé-Thomasen, Jacob Bodilsen, Birgitte Rønde Hansen, Nichlas Hovmand, Rannvá Winther, Malene Kirchmann, Christian T Brandt

Abstract read
In one paragraph

Article in Annals of medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Health science reports · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Elisa Skovgaard JensenDepartment of Otorhinolaryngology, Nordsjællands Hospital, University of Copenhagen, Hillerød, Denmark.
Per Cayé-ThomasenDepartment of Otorhinolaryngology Head & Neck Surgery and Audiology, Rigshospitalet, University Hospital of Copenhagen, Copenhagen, Denmark.
Jacob BodilsenDepartment of Infectious Diseases, Aalborg University Hospital, University of Aalborg, Denmark.
Birgitte Rønde HansenDepartment of Infectious Diseases, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark.
Nichlas HovmandDepartment of Infectious Diseases, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark.
Rannvá WintherDepartment of Infectious Diseases, Aalborg University Hospital, University of Aalborg, Denmark.
Malene KirchmannDepartment of Otorhinolaryngology, Nordsjællands Hospital, University of Copenhagen, Hillerød, Denmark.
Christian T BrandtFaculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0003-0201-0440

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSensorineural hearing loss (SNHL) has been suggested to occur in patients with Lyme neuroborreliosis (LNB); however, a clear association has never been documented. The present study prospectively investigated the development of SNHL in patients admitted for treatment of LNB using

methodsDOAE were measured in patients with LNB on the day of diagnosis, during treatment, and 30-60 days after discharge. Frequencies were categorized as Low (1, 1.5, 2 kHz), Mid (3, 4, 5 kHz), Mid-high (6, 7, 8 kHz), and High (9, 10 kHz). Pure Tone Audiometry (PTA3) was performed at discharge and 60 days after. Patients were treated with i.v. ceftriaxone or oral doxycycline for 14 days according to guidelines.

resultsDPOAE measurements were obtained in 25 patients with LNB at admission and in 18 patients at follow-up. Median age was 56 years (IQR, 48-64 years), and 16 (67%) were men. Fourteen (78%) of 18 patients showed improvement in Emission Threshold Levels (ETL) from admission to follow-up in low, mid-, and mid-high frequency categories, where ETLs increased by median levels of 3.2 (-4.1 to 8.3), 7.5 (-2.8 to 9.8), and 4.7 dB (-4.3 to 10.1). A decline was observed in the high frequency category, median -3.3 dB (-9.1 to 6.7). SNHL defined by pure tone average (PTA3) >20 dB was present in 11 out of 23 (48%) at discharge and in 9 out of 16 patients (56%) 60 days after discharge, which differed significantly from matched controls (Mann-Whitney test,

conclusionLNB can lead to cochlear outer-hair cell dysfunction, resulting in temporary and long-term SNHL.

Indexed as

Anti-Bacterial AgentsAudiometry, Pure-ToneHearing Loss, SensorineuralLyme NeuroborreliosisAdultAgedCeftriaxoneDoxycyclineFemaleHumansMaleMiddle AgedProspective StudiesAnti-Bacterial AgentsCeftriaxoneDoxycyclineHearing lossLyme neuroborrelioseotoacoustic emissions

Identifiers

PMID39391966
PMCPMC11486336

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.