关键词: Facial palsy Lyme disease case report facial monoplegia neuroborreliosis

Mesh : Humans Male Adult Facial Paralysis / etiology diagnosis Anti-Bacterial Agents / administration & dosage Ceftriaxone / administration & dosage Lyme Neuroborreliosis / diagnosis complications drug therapy Bell Palsy / diagnosis etiology Back Pain / etiology Diagnostic Errors Lyme Disease / diagnosis complications drug therapy Low Back Pain / etiology

来  源:   DOI:10.11604/pamj.2024.47.156.43116   PDF(Pubmed)

Abstract:
Lyme neuroborreliosis is a rare zoonosis which can be difficult to diagnose, in particular in low endemic areas. We here report the case of a 35-year-old man presenting with disabling back pain preceded by facial monoplegia, which was wrongly treated as Bell\'s palsy (paralysis a frigore) and then as post-traumatic lumbosciatica. The onset of facial diplegia allowed for a definitive diagnosis. The patient was treated with ceftriaxone and symptoms gradually improved.
摘要:
莱姆病是一种罕见的人畜共患病,很难诊断,特别是在低流行地区。我们在这里报告一例35岁的男性,在面部单瘫之前出现致残性背痛,被错误地视为贝尔麻痹(瘫痪),然后被视为创伤后腰痛。面部瘫痪的发作可以进行明确的诊断。患者接受头孢曲松治疗,症状逐渐好转。
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