[Multiple erythema migrans and facial nerve paralysis: clinical manifestations of early disseminated Lyme borreliosis].
Lyme borreliosis is a common vector-borne disease in Europe. The infection follows different stages with a broad variability of clinical symptoms and manifestations in different organs. A 49-year-old man presented with flu-like symptoms, facial nerve paralysis and multiple erythematous macular on his trunk and extremities. We diagnosed Lyme disease (stage II) with facial nerve paralysis and multiple erythema migrans. Intravenous ceftriaxone led to complete healing of hissymptoms within 2 weeks.
Hautklinik, Universitätsklinikum Düsseldorf, Moorenstr. 5, 40225, Düsseldorf, Deutschland.
S A
SA
Braun
A M
AM
Baran
C
C
Boettcher
B C
BC
Kieseier
J
J
Reifenberger
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002443:Ceftriaxone / Q000008:administration & dosage*; D003937:Diagnosis, Differential; D005155:Facial Nerve Diseases / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D005158:Facial Paralysis / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D005929:Glossitis, Benign Migratory / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D007275:Injections, Intravenous; D008193:Lyme Disease / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents; D002443:Ceftriaxone