Received: 2021/08/15 | Accepted: 2021/08/25 | Published: 2021/09/11
URL: http://ijwph.daneshafarand.org/article-3-85402-en.html
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2- Department of Audiology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Department of Audiology, University of Social Welfare and Rehabilitation Sciences Koodakyar Avenue, Daneshjoo Boulevard, Velenjak, Tehran, Iran, postal code: 1985713831
Aims: Due to the widespread prevalence of COVID-19, clinicians should be aware of even the rare symptoms of the disease to help the patients with the proper clinical procedure. In this study, a new case related to COVID-19 induced tinnitus was reported.
Patient & Methods: The patient was 27 years old with a chief complaint of a sudden transient change in her chronic vascular tinnitus (loud pulsatile tinnitus) repeated several times a day during the illness period. Because the other symptoms were similar to those of COVID-19, she was referred for a PCR test.
Findings: The PCR test for Covid19 was positive. Audiology examinations revealed intact tympanic membrane and normal hearing levels. Impedance audiometry and acoustic reflexes were standard. Tinnitus evaluations confirmed a change of tinnitus quality to higher pitch tinnitus with a louder loudness. HRCT scan did not show lung involvement.
Conclusion: In our case, tinnitus change is possibly due to a change in the blood flow caused by vasculitis, a confirmed manifestation of viral infectious including Coronavirus. Patients with sudden audio-vestibular symptoms should be further evaluated for the COVID-19 rule out. More detailed investigations are required to determine the involved mechanisms.