Facial numbness lyme disease

Lyme disease is a common disease that is faced by the physician but also acts a mimicker of many other disease processes. Facial palsies, especially bilateral, are a relatively rare presenting symptom of Lyme disease and may warrant further investigation. A thorough history and physical examination coupled with precision testing may aid the physician when faced with a patient with the diagnostic dilemma of facial diplegia. Lyme disease is the most common tick borne illness in the United States with an estimated 36, reported cases annually [ 1 ]. Although a large number of cases are reported to the Center for Disease Control, more than , cases remain unreported each year [ 1 ]. The most common sign of the disease is a rash known as erythema migrans, which may occur up to 1 to 2 weeks after infection but has been seen up to 4 weeks later [ 2 ].
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Bilateral Facial Diplegia: A Rare Presenting Symptom of Lyme

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Neurologic Lyme Disease | Lyme Disease | CDC

Current areas of interest include improving diagnostic tests and developing more effective treatments. Lyme disease is caused by a bacterial organism that is transmitted to humans via the bite of an infected tick. Most people with Lyme disease develop a characteristic skin rash around the area of the bite. The rash may feel hot to the touch, and vary in size, shape, and color, but it will often have a "bull's eye" appearance a red ring with a clear center. However, there are those who will not develop the rash, which can make Lyme disease hard to diagnose because its symptoms and signs mimic those of many other diseases. Anywhere from 7 to 14 days or in some cases, 30 days following an infected tick's bite, the first stage of Lyme disease may begin with flu-like symptoms such as fever, chills, swollen lymph nodes, headaches, fatigue, muscle aches, and joint pain.
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Lyme Disease and Facial Weakness: What You Should Know

Lyme disease is a tick-transmitted multisystem inflammatory disease caused by the spirochete Borrelia burgdorferi. With more than 25, CDC reported cases annually, it has become the most common vector-borne disease in the United States. We report a case of year-old man with Lyme disease presenting with simultaneous palsy of 3rd, 5th, 7th, 9th, and 10th cranial nerves.
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Neurologic symptoms of Lyme disease occur when the Lyme disease bacteria affect the peripheral or central nervous systems. Out of every patients whose cases are reported to CDC , 9 have facial palsy, 4 have radiculopathy, and 3 have meningitis or encephalitis. Because of reporting practices, this statistic may overestimate how often these manifestations are seen by clinicians. Most people with Lyme disease respond well to antibiotics and fully recover. Varying degrees of permanent nervous system damage may develop in people who do not receive treatment in the early stages of illness and who develop late-stage Lyme disease.
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