{Reference Type}: Case Reports {Title}: [Bilateral facial palsy: an atypical presentation of Lyme disease (a case report)]. {Author}: Collignon S;Coenen F;Mols P;Chauvin C;Ngatchou W; {Journal}: Pan Afr Med J {Volume}: 47 {Issue}: 0 {Year}: 2024 暂无{DOI}: 10.11604/pamj.2024.47.156.43116 {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.