title: Erythema migrans associated with partial Horner's syndrome.
abstract: Lyme disease is a tick-borne illness caused mainly by three species of spirochaete Borrelia--B. burgdorferi, B. afzelii and B. garinii. It has three stages of presentation--early localised, early-disseminated and late Lyme. Erythema migrans is the most common manifestation of Lyme disease, and is usually seen 7-14 days after the tick bite. Patients seldom remember the tick bite. Patients may often present with neurological manifestations indicating neuroborreliosis. These manifestations range from a simple nerve palsy to severe complications such as papilloedema, myelitis or meningitis. We present a case of a 37-year-old woman who presented with partial Horner's syndrome, which was associated with erythema migrans, and other signs of Lyme disease.
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USA.
authors.forename: Isha
authors.initials: I
authors.lastname: Verma
authors.affiliation: Department of Internal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USA.
authors.forename: Abhinav
authors.identifier: http://orcid.org/0000-0003-1080-6449
authors.initials: A
authors.lastname: Agrawal
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004318:Doxycycline / Q000627:therapeutic use; D015787:Erythema Chronicum Migrans / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006732:Horner Syndrome / Q000188:drug therapy / Q000209:etiology*; D006801:Humans
chemical_list: D000900:Anti-Bacterial Agents; D004318:Doxycycline