Facial diplegia as the presenting feature of Lyme disease

被引：1

作者：

Lesourd, A. ^{[1
]}

Ngo, S. ^{[1
]}

Sauvetre, G. ^{[1
]}

Heron, F. ^{[1
]}

Levesque, H. ^{[1
]}

Marie, I. ^{[1
]}

机构：

[1] CHU Rouen, Dept Med Interne, F-76031 Rouen, France

来源：

REVUE DE MEDECINE INTERNE | 2015年 / 36卷 / 05期

关键词：

Lyme's disease; Neuroborreliosis; Facial diplegia; Neurologic impairment; EUROPEAN NEUROBORRELIOSIS; BORRELIOSIS; MANIFESTATIONS; DIAGNOSIS; DURATION;

D O I：

10.1016/j.revmed.2014.05.002

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Introduction. - Diagnosis of neuroborreliosis may be difficult. Neuroborreliosis mainly results in lymphocytic meningitis and in meningoradiculitis (67-83% of cases). Case report. - We report the case of a patient who developed a sudden facial diplegia, revealing neuroborreliosis proved by positive blood and cerebrospinal fluid serology. The patient had no previous history of tick bite and migrans erythema. The patient was given ceftriaxone therapy (2 g/day for 21 days), leading to resolution of all clinical symptoms. Conclusion. - Our report underscores that neuroborreliosis should be considered in patients exhibiting facial diplegia. Thus, Lyme serology should be performed systematically in these patients. Altogether, early management is crucial, before the onset of neurological manifestations at late stage, leading to disabling sequelae despite antibiotic therapy. (C) 2014 Societe nationale francaise de medecine interne (SNFMI). Published by Elsevier Masson SAS. All rights reserved.

引用

页码：352 / 355

页数：4

共 26 条

[11] European neuroborreliosis: neuropsychological findings 30 months post-treatment [J].