Aspectos clínicos e audiológicos de indivíduos com surdez súbita pós-COVID-19 em Manaus, Amazonas
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Feb 25, 2025
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Objetivo: Descrever os aspectos clínicos e audiológicos de quatro pacientes que vivenciaram episódios de zumbido e surdez unilateral e procuraram atendimento médico durante a pandemia de COVID-19 em Manaus-AM. Métodos: A avaliação audiológica constou de Audiometria Tonal Liminar, Logoaudiometria, Medidas de Imitância Acústica, Emissões Otoacústicas Evocadas e Potenciais Evocados Auditivos de Tronco Encefálico. Resultados: Os pacientes, 02 homens, 01 mulher e 01 criança, com idade entre 05 e 76 anos, revelaram na avaliação audiológica, perda auditiva neurossensorial profunda e moderada e um paciente relatou melhora auditiva após o tratamento com corticóide. Conclusão: Apresentamos os aspectos clínicos e audiológicos de quatro pacientes com PANS pós-COVID-19 durante a primeira pandemia em Manaus, com acometimento variando de profundo a moderado e cujos mecanismos de perda não são conhecidos.
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Como Citar
DantasA. N. M., PiauilinoI. C. R., RodriguesY. K. B., PintoS. D., Baia-da-SilvaD., CastilhoM. da C., CapraD., CarvalhoD. M. de, RodriguesG. R. I., & Bôtto-MenezesC. (2025). Aspectos clínicos e audiológicos de indivíduos com surdez súbita pós-COVID-19 em Manaus, Amazonas. Revista Eletrônica Acervo Saúde, 25, e18016. https://doi.org/10.25248/reas.e18016.2025
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Referências
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2. CHERN A, et al. Bilateral sudden sensorineural hearing loss and intralabyrinthine hemorrhage in a patient with COVID-19. Otology & Neurotology. 2021; 42(1): 10-4.
3. COHEN BE, et al. Viral causes of hearing loss: a review for hearing health professionals. Trends in Hearing. 2014; 18: 2331216514541361.
4. COMACCHIO F, et al. MRI Evidence of labyrinthine and eighth-nerve bundle involvement in mumps virus sudden deafness and vertigo. Journal for Otorhinolaryngology and its Related Specialties. 1996; 58(6): 295-7.
5. CORMAN VM, et al. Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR. Euro Surveillance. 2020; 25(3): 2000045.
6. CUMMINS D, et al. Acute sensorineural deafness in Lassa fever. Journal of the American Medical Association. 1990; 264(16): 2093-6.
7. DEGEN C, et al. Acute profound sensorineural hearing loss after COVID-19 pneumonia. Mayo Clinic Proceedings. 2020; 95(8): 1801-3.
8. HOMANS NC, et al. Preva lence of age-related hearing loss, including sex differences, in older adults in a large cohort study. Laryngoscope. 2017; 127(3): 725 730.
9. JERGER J. Clinical experience with impedance audiometry. Archives of Otolaryngology. 1970; 92(4): 311-24.
10. JERGER S e JAMES J. Alterações auditivas: um manual para avaliação clínica. Rio de Janeiro: Atheneu, 1989; 226.
11. KALIYAPPAN K, et al. Vestibular cochlear manifestations in COVID-19 cases. Frontiers in Neurology. 2022; 13: 850337.
12. KORKMAZ MO, et al. Otolaryngological manifestations of hospitalised patients with confirmed COVID-19 infection. European Archives of Otorhinolaryngology. 2021; 278(5): 1675-85.
13. KOUMPA FS, et al. Sudden irreversible hearing loss post COVID-19. BMJ Case Reports. 2020; 13(11): 238419.
14. LAMOUNIER P, et al. A 67-year-old woman with sudden hearing loss associated with SARS-CoV-2 infection. The American Journal of Case Reports. 2020; 21: 927519.
15. LANG B, et al. Coronavirus disease 2019 and sudden sensorineural hearing loss. The Journal of Laryngology and Otology. 2020: 1-3.
16. LAZARINI PR e CAMARGO AC. Idiopathic sudden sensorineural hearing loss: etiopathogenic aspects. Brazilian Journal of Otorhinolaryngology. 2006; 72(4): 554-61.
17. LIGUORO I, et al. SARS-COV-2 infection in children and newborns: a systematic review. European Journal of Pediatrics. 2020; 179(7): 1029-46.
18. LITTLE C e COSETTI MK. A Narrative review of pharmacologic treatments for COVID-19: safety considerations and ototoxicity. Laryngoscope. 2021; 131(7): 1626-32.
19. MCINTYRE KM, et al. Systematic review of sensorineural hearing loss associated with COVID-19 infection. Cureus. 2021; 13(11): 19757.
20. MENG X, et al. COVID-19 and sudden sensorineural hearing loss: a systematic review. Frontiers in Neurology. 2022; 13: 883749.
21. MUSTAFA MW. Audiological profile of asymptomatic COVID-19 PCR-positive cases. American Journal of Otolaryngology. 2020; 41(3): 102483.
22. NAVECA FG, et al. COVID-19 in Amazonas, Brazil, was driven by the persistence of endemic lineages and p.1 emergence. Nature Medicine. 2021; 27(7): 1230-8.
23. PAINEL DE MONITORAMENTO DA COVID-19. In: FUNDAÇÃO de Vigilância em Saúde. Manaus: Fundação de Vigilância em Saúde. Disponível em: https ://www.fvs.am.gov.br/indicadorSalaSituacao_view/60/2. Acesso em: 12 set. 2023.
24. PENIDO NO, et al. Clinical, etiological and progression factors of hearing in sudden deafness. Brazilian Journal of Otorhinolaryngology. 2005; 71(5): 633-8.
25. POKHAREL S, et al. Sudden sensorineural hearing loss in a post-COVID-19 patient. Clinical Case Reports. 2021; 9(10): 4956.
26. PREVENTION OF BLINDNESS AND DEAFNESS 2020. In: WORLD Health Organization. Geneva: World Health Organization. Disponível em: http ://www.who.int/publications-detail/basic-ear-and-hearing-care-resource. Acesso em: 30 ago. 2023.
27. RICCIARDIELLO F, et al. Sudden sensorineural hearing loss in mild COVID-19: case series and analysis of the literature. Audiology Research. 2021; 11(3): 313-26.
28. SINDHAR S e LIEU JE. Overview of medical evaluation of unilateral and bilateral hearing loss in children. Otolaryngologic Clinics of North America. 2021; 54(6): 1155-69.
29. SISTEMA DE CONSELHOS DE FONOAUDIOLOGIA. Guia de orientações na avaliação audiológica básica. Brasília: Sistema de Conselhos de Fonoaudiologia, 2017; 29.
30. SWAIN SK, et al. Sudden sensorineural hearing loss among COVID-19 patients-our experiences at an indian teaching hospital. Siriraj Medical Journal. 2021; 73(2): 77-83.
31. TAN M, et al. Effects of COVID-19 on the audio-vestibular system. American Journal of Otolaryngology. 2022; 43(1): 103173.
32. TANG M, et al. Prevalence of hearing loss in COVID-19 patients: a systematic review and meta-analysis. Acta Otolaryngologica. 2023; 143(5): 416-22.
33. UMASHANKAR A, et al. Sudden sensorineural hearing loss post coronavirus disease: a systematic review of case reports. Indian Journal of Otolaryngology and Head and Neck Surgery. 2022; 74(2): 3028-35.
34. VIOLI F, et al. Hypercoagulation and antithrombotic treatment in coronavirus 2019: a new challenge. Thrombosis and Haemostasis. 2020; 120(6): 949-56.
35. WAGNER C, et al. Systemic Corticosteroids for the Treatment of COVID-19. The Cochrane Database of Systematic Reviews. 2021; 8(8): CD014963.
36. WONDFO 2019-NCOV ANTIGEN TEST. In: AUSTRALIA Biotech. Camberra: Australia BioTech. Disponível em: https ://www.aubiotech.com.au/wondfo-covid-19-antigen-self-testing-kit. Acesso em: 19 set. 2023.
37. WU Q, et al. Coinfection and other clinical characteristics of COVID-19 in children. Pediatrics. 2020; 146(1): 20200961.
38. YOUNG YH. Contemporary review of the causes and differential diagnosis of sudden sensorineural hearing loss. International Journal of Audiology. 2020; 59(4): 243-53.
2. CHERN A, et al. Bilateral sudden sensorineural hearing loss and intralabyrinthine hemorrhage in a patient with COVID-19. Otology & Neurotology. 2021; 42(1): 10-4.
3. COHEN BE, et al. Viral causes of hearing loss: a review for hearing health professionals. Trends in Hearing. 2014; 18: 2331216514541361.
4. COMACCHIO F, et al. MRI Evidence of labyrinthine and eighth-nerve bundle involvement in mumps virus sudden deafness and vertigo. Journal for Otorhinolaryngology and its Related Specialties. 1996; 58(6): 295-7.
5. CORMAN VM, et al. Detection of 2019 novel coronavirus (2019-nCoV) by real-time RT-PCR. Euro Surveillance. 2020; 25(3): 2000045.
6. CUMMINS D, et al. Acute sensorineural deafness in Lassa fever. Journal of the American Medical Association. 1990; 264(16): 2093-6.
7. DEGEN C, et al. Acute profound sensorineural hearing loss after COVID-19 pneumonia. Mayo Clinic Proceedings. 2020; 95(8): 1801-3.
8. HOMANS NC, et al. Preva lence of age-related hearing loss, including sex differences, in older adults in a large cohort study. Laryngoscope. 2017; 127(3): 725 730.
9. JERGER J. Clinical experience with impedance audiometry. Archives of Otolaryngology. 1970; 92(4): 311-24.
10. JERGER S e JAMES J. Alterações auditivas: um manual para avaliação clínica. Rio de Janeiro: Atheneu, 1989; 226.
11. KALIYAPPAN K, et al. Vestibular cochlear manifestations in COVID-19 cases. Frontiers in Neurology. 2022; 13: 850337.
12. KORKMAZ MO, et al. Otolaryngological manifestations of hospitalised patients with confirmed COVID-19 infection. European Archives of Otorhinolaryngology. 2021; 278(5): 1675-85.
13. KOUMPA FS, et al. Sudden irreversible hearing loss post COVID-19. BMJ Case Reports. 2020; 13(11): 238419.
14. LAMOUNIER P, et al. A 67-year-old woman with sudden hearing loss associated with SARS-CoV-2 infection. The American Journal of Case Reports. 2020; 21: 927519.
15. LANG B, et al. Coronavirus disease 2019 and sudden sensorineural hearing loss. The Journal of Laryngology and Otology. 2020: 1-3.
16. LAZARINI PR e CAMARGO AC. Idiopathic sudden sensorineural hearing loss: etiopathogenic aspects. Brazilian Journal of Otorhinolaryngology. 2006; 72(4): 554-61.
17. LIGUORO I, et al. SARS-COV-2 infection in children and newborns: a systematic review. European Journal of Pediatrics. 2020; 179(7): 1029-46.
18. LITTLE C e COSETTI MK. A Narrative review of pharmacologic treatments for COVID-19: safety considerations and ototoxicity. Laryngoscope. 2021; 131(7): 1626-32.
19. MCINTYRE KM, et al. Systematic review of sensorineural hearing loss associated with COVID-19 infection. Cureus. 2021; 13(11): 19757.
20. MENG X, et al. COVID-19 and sudden sensorineural hearing loss: a systematic review. Frontiers in Neurology. 2022; 13: 883749.
21. MUSTAFA MW. Audiological profile of asymptomatic COVID-19 PCR-positive cases. American Journal of Otolaryngology. 2020; 41(3): 102483.
22. NAVECA FG, et al. COVID-19 in Amazonas, Brazil, was driven by the persistence of endemic lineages and p.1 emergence. Nature Medicine. 2021; 27(7): 1230-8.
23. PAINEL DE MONITORAMENTO DA COVID-19. In: FUNDAÇÃO de Vigilância em Saúde. Manaus: Fundação de Vigilância em Saúde. Disponível em: https ://www.fvs.am.gov.br/indicadorSalaSituacao_view/60/2. Acesso em: 12 set. 2023.
24. PENIDO NO, et al. Clinical, etiological and progression factors of hearing in sudden deafness. Brazilian Journal of Otorhinolaryngology. 2005; 71(5): 633-8.
25. POKHAREL S, et al. Sudden sensorineural hearing loss in a post-COVID-19 patient. Clinical Case Reports. 2021; 9(10): 4956.
26. PREVENTION OF BLINDNESS AND DEAFNESS 2020. In: WORLD Health Organization. Geneva: World Health Organization. Disponível em: http ://www.who.int/publications-detail/basic-ear-and-hearing-care-resource. Acesso em: 30 ago. 2023.
27. RICCIARDIELLO F, et al. Sudden sensorineural hearing loss in mild COVID-19: case series and analysis of the literature. Audiology Research. 2021; 11(3): 313-26.
28. SINDHAR S e LIEU JE. Overview of medical evaluation of unilateral and bilateral hearing loss in children. Otolaryngologic Clinics of North America. 2021; 54(6): 1155-69.
29. SISTEMA DE CONSELHOS DE FONOAUDIOLOGIA. Guia de orientações na avaliação audiológica básica. Brasília: Sistema de Conselhos de Fonoaudiologia, 2017; 29.
30. SWAIN SK, et al. Sudden sensorineural hearing loss among COVID-19 patients-our experiences at an indian teaching hospital. Siriraj Medical Journal. 2021; 73(2): 77-83.
31. TAN M, et al. Effects of COVID-19 on the audio-vestibular system. American Journal of Otolaryngology. 2022; 43(1): 103173.
32. TANG M, et al. Prevalence of hearing loss in COVID-19 patients: a systematic review and meta-analysis. Acta Otolaryngologica. 2023; 143(5): 416-22.
33. UMASHANKAR A, et al. Sudden sensorineural hearing loss post coronavirus disease: a systematic review of case reports. Indian Journal of Otolaryngology and Head and Neck Surgery. 2022; 74(2): 3028-35.
34. VIOLI F, et al. Hypercoagulation and antithrombotic treatment in coronavirus 2019: a new challenge. Thrombosis and Haemostasis. 2020; 120(6): 949-56.
35. WAGNER C, et al. Systemic Corticosteroids for the Treatment of COVID-19. The Cochrane Database of Systematic Reviews. 2021; 8(8): CD014963.
36. WONDFO 2019-NCOV ANTIGEN TEST. In: AUSTRALIA Biotech. Camberra: Australia BioTech. Disponível em: https ://www.aubiotech.com.au/wondfo-covid-19-antigen-self-testing-kit. Acesso em: 19 set. 2023.
37. WU Q, et al. Coinfection and other clinical characteristics of COVID-19 in children. Pediatrics. 2020; 146(1): 20200961.
38. YOUNG YH. Contemporary review of the causes and differential diagnosis of sudden sensorineural hearing loss. International Journal of Audiology. 2020; 59(4): 243-53.