Inclusion Criteria:  - Well educated patients Age: range between 20 to 50 years No previous history of hearing loss or otoneurologic disease  Well confirmed COVID 19 patients:  patients who were diagnosed with coronavirus from  symptoms: fever, cough, generalized malaise, dyspnea. Laboratory finding: abnormalities have been observed in Complete blood count (CBC), high C-reactive protein and ferritin, elevated D-dimer. Imaging: Chest CT scan: bilateral ground glass opacities, crazy paving, and consolidation. nasopharyngeal swab for SARS-CoV-2 polymerase chain reaction testing (RT-PCR).  Exclusion Criteria:  previous history of hearing loss or otoneurological disease