Link: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2994358/?tool=pubmed

Excerpt:

We report a case of neuroborreliosis with severe bilateral recurrent nerve
palsy, which had to be treated at an intensive care unit because of acute
respiratory distress.

Case history

A 66-year-old woman was transferred to our facility from a local hospital.
Her only remarkable prior condition was diabetes mellitus, for which she was
on oral medication. She did not recall a tick bite or any skin changes
during the last months.