INTRODUCTION: Neuroborreliosis can be a difficult diagnosis which requires epidemiologic, clinical and biologic arguments. CASE REPORTS: We report two patients who presented with a recurrent laryngeal nerve palsy with positive Lyme serology and favorable outcome after antibiotic therapy. In one case, a lymphocytic meningitis with intrathecal production of specific antibodies was evidenced. CONCLUSION: Recurrent laryngeal nerve palsy is an uncommon manifestation of neuroborreliosis. Lyme serology is an important tool when neurologic disorder occurs because of an atypical course of Lyme disease. 2009 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.
INTRODUCTION:Neuroborreliosis can be a difficult diagnosis which requires epidemiologic, clinical and biologic arguments. CASE REPORTS: We report two patients who presented with a recurrent laryngeal nerve palsy with positive Lyme serology and favorable outcome after antibiotic therapy. In one case, a lymphocytic meningitis with intrathecal production of specific antibodies was evidenced. CONCLUSION: Recurrent laryngeal nerve palsy is an uncommon manifestation of neuroborreliosis. Lyme serology is an important tool when neurologic disorder occurs because of an atypical course of Lyme disease. 2009 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.
Authors: L K Johnstone; J B Engiles; H Aceto; V Buechner-Maxwell; T Divers; R Gardner; R Levine; N Scherrer; D Tewari; J Tomlinson; A L Johnson Journal: J Vet Intern Med Date: 2016-06-21 Impact factor: 3.333