Lyme disease is a systemic infection with the tick-borne spirochaeta Borrelia burgdorferi which targets specific body organs including the peripheral and central nervous systems. Some caution must be exercised in interpreting reports of hyperacusis because facial palsy can be a feature, hence stapedial reflex dysfunction as described above. There are, however, reports of hyperacusis in Lyme disease without facial nerve dysfunction. For more information visit this link:
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