Report Hearing loss in PANS / PANDAS (Lyme included) Posted July 29, 2010 Thank you. A test with an audiologist is set for next Tuesday. But....what happens if he *does* have hearing loss? What do they do? If it is caused by the zithromax, will it come back on its own? And..I assume it is safe to stay on the Augmentin, but I am feeling very cautious right now. Did your son's doctor tell you what to do if...? Thanks. Our pediatric infectious disease doctor recommended a hearing test twice a year if my son remained on azithromycin each day. There are a few rare case reports of hearing loss with the macrolides (primarily clarithromycin which is an older macrolide). I would definitely get it checked. I doubt it is the antibiotic but you should make sure and do a formal test with an audiologist.