Hareem Anam, Dabiri Iman, Zaheer Nida, Burakgazi Ahmet Z
Virginia Tech Carilion School of Medicine, Roanoke, VA 24016, USA.
Lahore Medical and Dental College, Lahore 53400, Pakistan.
Neurol Int. 2021 Mar 18;13(1):125-129. doi: 10.3390/neurolint13010012.
In the US, Lyme disease (LD) has become the most common vector-borne disease. Less than 10% of patients develop cranial nerve palsy or meningitis. There are few reports on cases of Lyme disease with more than one cranial neuropathy. Herein, we will discuss a case of persistent neurological deficits as a result of chronic Lyme disease resistant to standard therapy. Our case is unique due to involvements of cranial seven and eight nerves at the same time. Our case illustrates an extreme example of treatment resistance. However, early diagnosis and prompt establishment of adequate antibiotic treatment are still important to prevent progression to further stages of disease.
在美国，莱姆病（LD）已成为最常见的媒介传播疾病。不到10%的患者会出现颅神经麻痹或脑膜炎。关于莱姆病合并多种颅神经病变的病例报道较少。在此，我们将讨论一例因慢性莱姆病对标准治疗耐药而导致持续性神经功能缺损的病例。我们的病例独特之处在于同时累及了第七和第八颅神经。我们的病例说明了治疗抵抗的一个极端例子。然而，早期诊断和及时进行充分的抗生素治疗对于预防疾病进展到更严重阶段仍然很重要。
