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Lyme disease is a prevalent infection in the northern hemisphere, affecting approximately 450,000 new cases annually in the United States and 65,000 in Europe. This illness is spread by the bite of ticks harboring spirochetes and develops in three progressive phases. In the second phase, neurological complications are common, including cranial nerve involvement.

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Dysphagia due to Lyme Disease: A Case Report.

Brain Neurorehabil

November 2024

Department of Rehabilitation Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea.

Article Synopsis
  • Lyme disease is a multisystem infection that can impact various parts of the body, including joints and the nervous system, particularly if left untreated.
  • A unique case is presented where a patient experienced dysphagia (difficulty swallowing), a symptom not commonly associated with Lyme disease, which usually manifests through neurological issues like facial nerve palsy.
  • The increase in Lyme disease cases, especially in certain geographic regions, underscores the importance of early diagnosis and treatment for patients presenting with unusual symptoms like dysphagia.
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SUMMARYTick paralysis is a potentially fatal condition caused by neurotoxins secreted by the salivary glands of certain ticks. Documented cases have been reported worldwide, predominantly in the United States, Canada, and Australia, with additional reports from Europe and Africa. This condition also affects animals, leading to significant economic losses and adverse impacts on animal health and welfare.

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Article Synopsis
  • The study aimed to assess how general practitioners (GPs) and pediatricians diagnose and manage facial nerve palsy in children suspected of having Lyme neuroborreliosis (LNB).
  • A national survey conducted from September 2018 to January 2020 yielded 598 responses, revealing that many practitioners felt uncomfortable with diagnosing LNB and often required specialist consultations or hospital admissions.
  • Antibiotic treatment varied slightly between age groups, with amoxicillin and ceftriaxone being the most common choices, but overall, there was little difference in management practices between GPs and pediatricians.
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