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A case of hemifacial paresis in a patient with Lyme neuroborreliosis treated with antibiotics in whom Borrelia meningitis developed.
Rinsho Shinkeigaku. 2016 07 28; 56(7):495-8.RS

Abstract

A 38-year-old man visited our hospital because of hemifacial paresis that developed 2 months after being bit by a tick. We diagnosed idiopathic peripheral facial palsy and gave the patient oral prednisolone and valacyclovir. Although the symptoms completely resolved in about 2 weeks, there was a risk of Lyme neuroborreliosis. The patient therefore received doxycycline (100 mg twice daily) and amoxicillin (1,000 mg 3 times daily) for 14 days. Two months later, he had symptoms of meningitis such as headache and fever accompanied by lymphocytic cerebrospinal fluid pleocytosis. Viral meningitis was diagnosed and treated with parenteral acyclovir. The symptoms of meningitis improved. Tests for serum IgG antibodies against borrelia were positive. We gave the patient a diagnosis of Lyme neuroborreliosis. The patient received intravenous ceftriaxone and had no relapse. It is a rare for meningitis to develop in a patient with cranial neuropathy who received doxycycline. Lyme neuroborreliosis is a rare disease in Japan. Care should therefore be exercised in the diagnosis of Lyme neuroborreliosis and evaluation of the response to treatment.

Authors+Show Affiliations

Department of Neurology, Nara City Hospital.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

jpn

PubMed ID

27356734

Citation

Shimizu, Hisao, et al. "A Case of Hemifacial Paresis in a Patient With Lyme Neuroborreliosis Treated With Antibiotics in Whom Borrelia Meningitis Developed." Rinsho Shinkeigaku = Clinical Neurology, vol. 56, no. 7, 2016, pp. 495-8.
Shimizu H, Haratani K, Miyazaki M, et al. A case of hemifacial paresis in a patient with Lyme neuroborreliosis treated with antibiotics in whom Borrelia meningitis developed. Rinsho Shinkeigaku. 2016;56(7):495-8.
Shimizu, H., Haratani, K., Miyazaki, M., Kakehi, Y., Nagami, S., Katanami, Y., Kawabata, H., & Takahashi, N. (2016). A case of hemifacial paresis in a patient with Lyme neuroborreliosis treated with antibiotics in whom Borrelia meningitis developed. Rinsho Shinkeigaku = Clinical Neurology, 56(7), 495-8. https://doi.org/10.5692/clinicalneurol.cn-000880
Shimizu H, et al. A Case of Hemifacial Paresis in a Patient With Lyme Neuroborreliosis Treated With Antibiotics in Whom Borrelia Meningitis Developed. Rinsho Shinkeigaku. 2016 07 28;56(7):495-8. PubMed PMID: 27356734.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A case of hemifacial paresis in a patient with Lyme neuroborreliosis treated with antibiotics in whom Borrelia meningitis developed. AU - Shimizu,Hisao, AU - Haratani,Koji, AU - Miyazaki,Masayuki, AU - Kakehi,Yoshiaki, AU - Nagami,Shuhei, AU - Katanami,Yuichi, AU - Kawabata,Hiroki, AU - Takahashi,Nobuyuki, Y1 - 2016/06/30/ PY - 2016/7/1/entrez PY - 2016/7/1/pubmed PY - 2017/3/24/medline SP - 495 EP - 8 JF - Rinsho shinkeigaku = Clinical neurology JO - Rinsho Shinkeigaku VL - 56 IS - 7 N2 - A 38-year-old man visited our hospital because of hemifacial paresis that developed 2 months after being bit by a tick. We diagnosed idiopathic peripheral facial palsy and gave the patient oral prednisolone and valacyclovir. Although the symptoms completely resolved in about 2 weeks, there was a risk of Lyme neuroborreliosis. The patient therefore received doxycycline (100 mg twice daily) and amoxicillin (1,000 mg 3 times daily) for 14 days. Two months later, he had symptoms of meningitis such as headache and fever accompanied by lymphocytic cerebrospinal fluid pleocytosis. Viral meningitis was diagnosed and treated with parenteral acyclovir. The symptoms of meningitis improved. Tests for serum IgG antibodies against borrelia were positive. We gave the patient a diagnosis of Lyme neuroborreliosis. The patient received intravenous ceftriaxone and had no relapse. It is a rare for meningitis to develop in a patient with cranial neuropathy who received doxycycline. Lyme neuroborreliosis is a rare disease in Japan. Care should therefore be exercised in the diagnosis of Lyme neuroborreliosis and evaluation of the response to treatment. SN - 1882-0654 UR - https://www.unboundmedicine.com/medline/citation/27356734/A_case_of_hemifacial_paresis_in_a_patient_with_Lyme_neuroborreliosis_treated_with_antibiotics_in_whom_Borrelia_meningitis_developed_ L2 - https://dx.doi.org/10.5692/clinicalneurol.cn-000880 DB - PRIME DP - Unbound Medicine ER -