Tags

Type your tag names separated by a space and hit enter

Diaphragmatic paralysis due to Lyme disease.
Eur Respir J. 1999 Mar; 13(3):700-2.ER

Abstract

Lyme disease is a tick-borne spirochaete infection which, in a proportion of patients, can lead to neuropathy. This article describes a case of diaphragmatic paralysis due to Lyme disease. A 39-yr-old male presented to the hospital because of an acute left facial palsy. Six weeks prior to admission he had developed a circular rash on his left flank during a camping holiday. He also complained of shortness of breath and arthralgia for 1 week. His chest radiograph demonstrated a raised right hemi-diaphragm. Diaphragmatic paralysis was confirmed by fluoroscopy (a positive sniff test). Serology revealed evidence of recent infection by Borrelia burgdorferi. On the basis of the patient's clinical presentation, a recent history of erythema migrans, and positive Lyme serology, a diagnosis of neuroborreliosis was made. He received oral doxycycline therapy (200 mg x day(-1)) for three weeks. Facial and diaphragmatic palsies resolved within eight weeks. On the basis of this case, a diagnosis of Lyme disease should be considered in patients from endemic regions with otherwise unexplained phrenic nerve palsy.

Authors+Show Affiliations

Division of Pulmonary and Critical Care Medicine, Stanford University Medical Center, CA 94305, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

10232450

Citation

Faul, J L., et al. "Diaphragmatic Paralysis Due to Lyme Disease." The European Respiratory Journal, vol. 13, no. 3, 1999, pp. 700-2.
Faul JL, Ruoss S, Doyle RL, et al. Diaphragmatic paralysis due to Lyme disease. Eur Respir J. 1999;13(3):700-2.
Faul, J. L., Ruoss, S., Doyle, R. L., & Kao, P. N. (1999). Diaphragmatic paralysis due to Lyme disease. The European Respiratory Journal, 13(3), 700-2.
Faul JL, et al. Diaphragmatic Paralysis Due to Lyme Disease. Eur Respir J. 1999;13(3):700-2. PubMed PMID: 10232450.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diaphragmatic paralysis due to Lyme disease. AU - Faul,J L, AU - Ruoss,S, AU - Doyle,R L, AU - Kao,P N, PY - 1999/5/8/pubmed PY - 1999/5/8/medline PY - 1999/5/8/entrez SP - 700 EP - 2 JF - The European respiratory journal JO - Eur. Respir. J. VL - 13 IS - 3 N2 - Lyme disease is a tick-borne spirochaete infection which, in a proportion of patients, can lead to neuropathy. This article describes a case of diaphragmatic paralysis due to Lyme disease. A 39-yr-old male presented to the hospital because of an acute left facial palsy. Six weeks prior to admission he had developed a circular rash on his left flank during a camping holiday. He also complained of shortness of breath and arthralgia for 1 week. His chest radiograph demonstrated a raised right hemi-diaphragm. Diaphragmatic paralysis was confirmed by fluoroscopy (a positive sniff test). Serology revealed evidence of recent infection by Borrelia burgdorferi. On the basis of the patient's clinical presentation, a recent history of erythema migrans, and positive Lyme serology, a diagnosis of neuroborreliosis was made. He received oral doxycycline therapy (200 mg x day(-1)) for three weeks. Facial and diaphragmatic palsies resolved within eight weeks. On the basis of this case, a diagnosis of Lyme disease should be considered in patients from endemic regions with otherwise unexplained phrenic nerve palsy. SN - 0903-1936 UR - https://www.unboundmedicine.com/medline/citation/10232450/Diaphragmatic_paralysis_due_to_Lyme_disease_ L2 - http://erj.ersjournals.com/cgi/pmidlookup?view=long&pmid=10232450 DB - PRIME DP - Unbound Medicine ER -