A Case of Lyme Disease with Facial Nerve Palsy.

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  • 顔面神経麻ひを呈したライム病例
  • リンショウ ガンメン シンケイ マヒ オ テイシタ ライムビョウレイ

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Abstract

Lyme disease is an infection transmitted by ticks and caused by spirochete Borrelia burgdorferi. This disease is a complex multiple organ disorder with neurological complications. We encountered a case of Lyme disease with left facial palsy as a form of neuroborreliosis and report the case here. A 35-year-old man consulted our hospital complaining of left facial palsy following a tick bite with localized erythema migrans and positivity of serum anti-Borrelia burgdorferi antibody indicating a diagnosis of neuroborreliosis. He was treated with antibiotics (intravenous ceftriaxon and piperacillin following oral minocycline) and prednisolone for 22 days. After therapy, he made a complete recovery from the disease.

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