Asymptomatic hearing loss-a missed symptom of COVID-19

Authors

  • Choudhary Sathyanarayanan Department of ENT, RMMCH, Annamalai university, Chidambaram, Tamil Nadu, India
  • Balaji Swaminathan Department of ENT, RMMCH, Annamalai university, Chidambaram, Tamil Nadu, India
  • Ruta Shanmugam Department of ENT, RMMCH, Annamalai university, Chidambaram, Tamil Nadu, India
  • V. U. Shanmugam Department of ENT, RMMCH, Annamalai university, Chidambaram, Tamil Nadu, India
  • Prakash . Department of ENT, RMMCH, Annamalai university, Chidambaram, Tamil Nadu, India
  • V. M. Lavanya Department of ENT, RMMCH, Annamalai university, Chidambaram, Tamil Nadu, India
  • P. S. Divya Department of ENT, RMMCH, Annamalai university, Chidambaram, Tamil Nadu, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20213691

Keywords:

Conductive hearing loss, Sensoneural hearing loss, COVID-19, Audiometric evaluation, PTA

Abstract

Background: COVID-19 pandemic is caused by SARS CoV2. The last reference of pandemic was Spanish flu in 1918 which caused hearing loss in many patients. The effect of COVID-19 is an interesting issue in audiology. Not much studies have been done; therefore, this kindled our interest to have a study on audiological profile of asymptomatic COVID-19 patients.

Methods: The 20 cases in the age group of 20 and 50 years who were confirmed positive for COVID-19 formed the study group. 20 subjects who had normal hearing (Audiometric threshold at or better than 15 db HL) were used as control group. Pure-tone audiometry (PTA) was done for both the group on day 7 and 30. Air conduction and Bone conduction were measured. The audiometric thresholds were measured using the modified Hughson-Westlake method.

Results: High frequency hearing impairment was found in 9 out of 20 patients in the study group on day 7. Out of the 9 affected patients 7 patients showed improvement upon further testing done on day 30.

Conclusions: Like anosmia and ageusia, hearing loss can be considered as one of the clinical features in COVID-19 patients. This study was recorded to find a significant hearing loss in asymptomatic COVID-19 patients and thus sheds light on the auditory problem that people are experiencing during these difficult times and for future reference on pandemic research.

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References

World Health Organization. WHO characterizes COVID-19 as a pandemic. 2020.

Lechien JR, Chiesa-Estomba CM, De Siati DR. Olfactory and gustatory dysfunctions as a clinical presentation of mild-to-moderate forms of the coronavirus disease (COVID-19): a multicenter European study. Eur Arch Otorhinolaryngol. 2020;277(8):2251-61.

Giacomelli A, Pezzati L, Conti F. Self-reported olfactory and taste disorders in patients with severe acute respiratory coronavirus 2 infection: a cross-sectional study. Clin Infect Dis. 2020;71(15):889-90.

Ahmad I, Rathore FA. Neurological manifestations and complications of COVID-19: a literature review. J Clin Neurosci. 2020;77:8-12.

Mao L, Jin H, Wang M. Neurologic manifestations of hospitalized patients with Coronavirus disease 2019 in Wuhan China. JAMA Neurol. 2020;77(6):683-90.

Moriguchi T, Harii N, Goto J. A first case of meningitis/encephalitis associated with SARS-Coronavirus-2. Int J Infect Dis. 2020;94:55-8.

Ozçelik MA, Korkmaz M, Egilmez OK, Güven M. Otolaryngological manifestations of hospitalised patients with confirmed COVID-19 infection. Eur Arch Otorhinolaryngol. 2020;1-11.

Abramovich S, Prasher DK. Electrocochleography and brain-stem potentials in Ramsay Hunt syndrome. Arch Otolaryngol Head Neck Surg. 1986;112(9):925-8.

Adler SP. Congenital cytomegalovirus screening. Pediatr Infect Dis J. 2005;24(12):1105-6.

Budzilovich GN, Lieberman AN. Herpes zoster oticus and facial paralysis (Ramsay Hunt syndrome). Clinicopathologic study and review of literature. J Neurol Sci. 1973;20(2):149-59.

Al Muhaimeed H, Zakzouk SM. Hearing loss and herpes simplex. J Trop Pediatr. 1997;43(1):20-4.

Karosi T, Konya J, Petko M, Sziklai I. Histologic otosclerosis is associated with the presence of measles virus in the stapes footplate. Otol Neurotol. 2005;26(6):1128-33.

Helms J, Kremer S, Merdji H, Clere-Jehl R, Schenck M, Kummerlen C et al. Neurologic features in severe SARS-CoV-2 infection. N Engl J Med. 2020;382(23):2268-70.

Mustafa MW. Audiological profile of asymptomatic COVID-19 PCR-positive cases. Am J Otolaryngol. 2020;10:102483.

Sriwijitalai W, Wiwanitkit V. Hearing loss and COVID-19: a note. Am J Otolaryngol. 2020;41(3):102473.

Koumpa FS, Forde CT, Manjaly JG. Sudden irreversible hearing loss post COVID. 2020;13(11):e238419.

Degen C, Lenarz T, Willenborg K. Acute profound sensorineural hearing loss after COVID-19 pneumonia. Mayo Clin Proc. 2020;95(8):1801-31.

Rhman SS, Wahid AA. COVID-19 and sudden sensorineural hearing loss, a case report. Otolaryngology Case Reports. 2020;16:100198.

Maharaj S, Bello Alvarez M, Mungul S, Hari K. Otologic dysfunction in patients with COVID-19: a systematic review. Laryngoscope Investig Otolaryngol. 2020;5(6):1192-6.

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Published

2021-09-27

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Original Research Articles