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• W3088990717 abstract "We thank Pietro et al. for their comments on our recently published article (Kilic et al., 2020Kilic O. Kalcioglu M.T. Cag Y. Tuysuz O. Pektas E. Caskurlu H. et al.Could sudden sensorineural hearing loss be the sole manifestation of COVID-19? An investigation into SARS-COV-2 in the etiology of sudden sensorineural hearing loss.Int J Infect Dis. 2020; 97: 208-211https://doi.org/10.1016/j.ijid.2020.06.023Abstract Full Text Full Text PDF PubMed Scopus (132) Google Scholar). In previous studies, viral infections have been reported to have an important role in the etiology of sudden sensorineural hearing loss (SSNHL) (Cohen et al., 2014Cohen B.E. Durstenfeld A. Roehm P.C. Viral causes of hearing loss: a review for hearing health professionals.Trends Hear. 2014; 18 (2331216514541361)https://doi.org/10.1177/2331216514541361Crossref PubMed Scopus (247) Google Scholar). Therefore, it is not unreasonable to think that coronavirus disease 2019 (COVID-19), as a viral infection, may also cause SSNHL. Moreover, studies on the effects of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) virus on central and peripheral nervous systems have been recently published. Some of these studies have reported Guillain–Barré syndrome (Toscano et al., 2020Toscano G. Palmerini F. Ravaglia S. Ruiz L. Invernizzi P. Cuzzoni M.G. et al.Guillain-Barré syndrome associated with SARS-CoV-2.N Engl J Med. 2020; 382: 2574-2576https://doi.org/10.1056/NEJMc2009191Crossref PubMed Scopus (878) Google Scholar) and impaired olfactory function (Eliezer et al., 2020Eliezer M. Hautefort C. Hamel A.L. Verillaud B. Herman P. Houdart E. et al.Sudden and complete olfactory loss function as a possible symptom of COVID-19.JAMA Otolaryngol Head Neck Surg. 2020; 146: 674-675https://doi.org/10.1001/jamaoto.2020.0832Crossref PubMed Scopus (266) Google Scholar) to be related to SARS-CoV-2. Another recently published study reported neurologic changes in 58 of 64 patients with COVID-19 (Helms et al., 2020Helms 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: 2268-2270https://doi.org/10.1056/NEJMc2008597Crossref PubMed Scopus (1713) Google Scholar). When we observed an unexpected increase in SSNHL cases with no other symptoms in our ENT outpatient clinics during the COVID-19 pandemic, we thought that this might be related to COVID-19. Therefore, we investigated the possibility of SARS-CoV-2 infection in these patients. Using RT-PCR, we detected the presence of SARS-CoV-2 in one of our five patients (Kilic et al., 2020Kilic O. Kalcioglu M.T. Cag Y. Tuysuz O. Pektas E. Caskurlu H. et al.Could sudden sensorineural hearing loss be the sole manifestation of COVID-19? An investigation into SARS-COV-2 in the etiology of sudden sensorineural hearing loss.Int J Infect Dis. 2020; 97: 208-211https://doi.org/10.1016/j.ijid.2020.06.023Abstract Full Text Full Text PDF PubMed Scopus (132) Google Scholar). Our study is the first in the literature to show that there may be a relationship between SSNHL and COVID-19. The results of a recent study on the effect of COVID-19 on hearing functions supports our hypothesis (Mustafa, 2020Mustafa M.W.M. Audiological profile of asymptomatic Covid-19 PCR-positive cases.Am J Otolaryngol. 2020; 41: 102483https://doi.org/10.1016/j.amjoto.2020.102483Crossref PubMed Scopus (151) Google Scholar). The author reported that both transient evoked otoacoustic emissions and high frequency pure-tone threshold amplitudes were significantly worse in the asymptomatic COVID-19 PCR-positive patient group. Undoubtedly, routine healthcare services are disrupted during this pandemic, so the association of SSNHL cases with COVID-19 may have gone unnoticed in healthcare institutions due to the increased workload. Of course, in order to make a definitive diagnosis, studies demonstrating the presence of the virus in the relevant tissues, such as postmortem studies, are required. However, in the ongoing pandemic, we believe that every symptom should be considered and shared with the medical community. We believe that our article will increase awareness of this issue. This will encourage the design of large studies, in regions with high prevalence of COVID-19, as also suggested by Pietro et al. The authors declare that they have no conflicts of interest. Sudden sensorineural hearing loss and COVID-19: (commentary on “Could sudden sensorineural hearing loss be the sole manifestation of COVID-19? An investigation into SARS-COV-2 in the etiology of sudden sensorineural hearing loss” by Osman Kilic, Mahmut Tayyar Kalcioglu, Yasemin Cag, Ozan Tuysuz, Emel Pektas, Hulya Caskurlu, and Ferihan Cetın)International Journal of Infectious DiseasesVol. 101PreviewWe read with great interest the original and interesting article by Kilic et al. (2020) concerning the possibility that sudden sensorineural hearing loss (SSNHL) could be a non-specific symptom of COVID-19. Although we certainly consider it a challenging study, we would like to comment on some aspects. Full-Text PDF Open Access" @default.
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• W3088990717 title "Can COVID-19 cause sudden sensorineural hearing loss?" @default.
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