Kim Pureum, Lim Seong Hoon, Lee Jong In, Namgung Ho-Geon, Kim Donghwan, Lee Eun Ji
Department of Rehabilitation Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Institute for Basic Medical Science, Catholic Medical Center, The Catholic University of Korea, Seoul, Korea.
Brain Neurorehabil. 2024 Nov 28;17(3):e25. doi: 10.12786/bn.2024.17.e25. eCollection 2024 Nov.
Lyme disease is a multisystem infection that can affect the joints, heart, and nervous system when untreated. While it can present with cranial nerve palsy, dysphagia is rarely reported. This case highlights a rare instance of dysphagia in Lyme disease, typically known for neurological symptoms like facial nerve palsy. Despite the absence of erythema migrans or a documented tick bite, the patient's facial palsy, hearing loss, vocal cord paralysis, and dysphagia were attributed to Lyme disease. With the rising prevalence of Lyme disease, similar cases may increase, particularly in endemic regions of North America, Europe, and parts of Asia, emphasizing the need for early diagnosis and treatment in patients with unexplained dysphagia.
莱姆病是一种多系统感染，若不治疗会影响关节、心脏和神经系统。虽然它可能表现为颅神经麻痹，但吞咽困难很少被报道。本病例突出了莱姆病中罕见的吞咽困难情况，莱姆病通常以如面神经麻痹等神经症状而闻名。尽管没有游走性红斑或蜱虫叮咬记录，但患者的面神经麻痹、听力丧失、声带麻痹和吞咽困难归因于莱姆病。随着莱姆病患病率的上升，类似病例可能会增加，尤其是在北美、欧洲和亚洲部分地区的流行区域，这凸显了对不明原因吞咽困难患者进行早期诊断和治疗的必要性。
