By Linda on Jun 8, 2011 in Infections | comments(0)
We have to somehow get these hospitals trained to recognize Lyme Neuroborreliosis….it can kill and go undiagnosed…..This case history is quiet disturbing…
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.
By Linda on May 17, 2010 in Infections | comments(0)
Excerpt:
OBJECTIVE: We report an extremely rare case of recurrent laryngeal nerve paralysis due to subclinical Lyme borreliosis. METHOD: Case report presenting a 15-year-old girl referred with hoarseness and soft voice. RESULTS: Right-sided recurrent laryngeal nerve paralysis was observed using videolaryngoscopy. Imaging was used to exclude intracranial, cervical and intrathoracic embryological lesions, vascular malformations and tumours. Laboratory and electrophysiological investigations were used to exclude inflammatory and paraneoplastic processes, endocrinopathy and metabolic disorders. Serological testing was positive for Lyme disease. Parenteral ceftriaxone therapy was commenced. The patient’s nerve paralysis showed complete recovery on the seventh day of antibiotic treatment; this was confirmed by videolaryngoscopy. CONCLUSION: Recurrent laryngeal nerve paralysis is an extremely rare complication of neuroborreliosis associated with Lyme disease. In patients with recurrent laryngeal nerve paralysis in whom the clinical history is uncertain and the usual diagnostic methods give negative results, screening with anti-borrelia immunoglobulin M is suggested.
