Vol.96 No.1 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 96 No. 1 January 2003
A Case of Lyme Disease with Facial Nerve Palsy
Masaaki Adachi, Kazumi Yoshino, Yoshiya Ishida,
Yusuke Abe, Nobuyuki Bando, Masanobu Imada,
Tatsuya Hayashi, Satoshi Nonaka and Yasuaki Harabuchi
(Asahikawa Medical College)
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.
Key words : lyme disease, facial palsy, neuroborreliosis