Brief Answer:
Infection can be one cause, follow the advice below.

Detailed Answer:

Hello,

This symptom can be related to many causes.

The infection of the ear is one of the causes.

Does your brother have other symptoms like fever, ear pain?
Does he have a sudden loss of weight?

If your brother were my patient I would suggest the following examination for better diagnosis :
-physical examination of the ear
-a complete blood test
-an audiogram test to evaluate the hearing loss

Treatment depends on the cause.

Please provide me with more information about the question that I did, so it will be easier for me to give you some advice.

Kind regards.

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Brief Answer:
I think shingles can be the cause of these symptoms.

Detailed Answer:

Hi again,

I think shingles can be the cause of these symptoms.

Shingle is a nervous system disease. It might cause swelling lymph nodes and also hearing loss. The hearing loss can be temporary or continue in time.

I suggest for your brother to continue a cure of prescribed antiviral drugs.

I also suggest a physical examination of an ENT specialist and an audiogram.

Hope my answer was helpful.

Take care.

Regards,
Dr. Dorina Gurabardhi, General & Family Physician

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