Bienvenot M, Tranchant C, Flament J, Warter J M, Sahel J
Clinique Ophtalmologique, Hôpital Civil, Strasbourg.
J Fr Ophtalmol. 1990;13(6-7):339-42.
Lyme disease is an infectious multi system disorder caused by the spirochète Borrelia Burgdorferi. Neurologic syndromes occurring during the second stage of the illness are common and the neurologic feature is extremely variable. We report a case of Lyme disease with diplopia. In contrast with most reported cases of ocular motor involvement in Lyme disease, no other systemic symptoms were detected. The serodiagnosis, although mildly positive, was confirmed by western blot antibodies analysis and evaluation of CSF antibodies. Symptoms readily vanished 3 days after the introduction of antibiotherapy. The efficacity of antibiotic therapy on the quality and timing of functional recovery justifies the use of this therapy.
莱姆病是一种由伯氏疏螺旋体引起的感染性多系统疾病。疾病第二阶段出现的神经综合征很常见，且神经特征变化极大。我们报告一例伴有复视的莱姆病病例。与大多数报道的莱姆病眼肌受累病例不同，未检测到其他全身症状。血清学诊断虽呈弱阳性，但通过蛋白质印迹抗体分析和脑脊液抗体评估得以确诊。抗生素治疗开始3天后症状迅速消失。抗生素治疗对功能恢复的质量和时间的有效性证明了这种治疗方法的合理性。
