Bhatia Mannat K, Abdelbaky Mohamed, Lahoti Lokesh
Department of Internal Medicine, Rutgers Robert Wood Johnson Medical School, Saint Peter's University Hospital, New Brunswick, USA.
Cureus. 2024 May 13;16(5):e60213. doi: 10.7759/cureus.60213. eCollection 2024 May.
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.
莱姆病（LB）是一种复杂的蜱传疾病，临床表现多样。我们报告了一例55岁女性莱姆病脑膜炎合并单纯疱疹病毒1型（HSV-1）感染的病例，该患者最初表现为孤立性面神经麻痹。该病例说明了莱姆病合并感染相关的多方面诊断挑战。它强调了进行全面检测以识别所有潜在病原体的必要性，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。
