[Diplopia as the first manifestation of Lyme disease].
METHODS
We report a case of Lyme disease with diplopia as the first manifestation, without systemic symptoms in contrast with other cases of this disease. The serodiagnosis was confirmed by ELISA analysis and evaluation of cerebrospinal fluid (CSF) antibodies. Symptoms readily vanished after the introduction of antibiotherapy.


CONCLUSIONS
Lyme disease is an infectious multi-systemic disorder caused by Borrelia burgdorferi. Neuro-ophthalmological manifestations occur during the second stage of the illness in extremely variable clinical forms.
Asensio Sánchez
V M
VM
Hospital General del INSALUD, Medina del Campo, Valladolid, España.
Corral Azor
A
A
Bartolomé Aragón
A
A
De Paz García
M
M
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood; D025065:Borrelia burgdorferi / Q000302:isolation & purification; D002443:Ceftriaxone / Q000627:therapeutic use; D004172:Diplopia / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D002443:Ceftriaxone