PDF(Pubmed)
Abstract：
Lyme borreliosis (LB) is a complex tick-borne illness with diverse presentations. We report a case of LB meningitis with herpes simplex virus-1 (HSV-1) co-infection in a 55-year-old woman initially presenting with isolated facial nerve palsy. This case illustrates the multifaceted diagnostic challenges associated with Lyme co-infections. It emphasizes the need for thorough testing to identify all potential pathogens and the importance of differentiating between true co-infection and incidental HSV-1 reactivation. Understanding these complexities is crucial for guiding appropriate treatment decisions.
摘要：
莱姆病（LB）是一种复杂的蜱传疾病，表现多样。我们报告了一名55岁女性最初表现为孤立性面神经麻痹的LB脑膜炎与单纯疱疹病毒1（HSV-1）共感染的病例。这个案例说明了与莱姆共感染相关的多方面诊断挑战。它强调需要进行彻底的测试以识别所有潜在的病原体，以及区分真正的合并感染和偶然的HSV-1再激活的重要性。了解这些复杂性对于指导适当的治疗决策至关重要。
