Dysphagia due to Lyme Disease: A Case Report.

Brain & NeuroRehabilitation Pub Date : 2024-11-28 eCollection Date: 2024-11-01 DOI:10.12786/bn.2024.17.e25
Pureum Kim, Seong Hoon Lim, Jong In Lee, Ho-Geon Namgung, Donghwan Kim, Eun Ji Lee
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Abstract

Lyme disease is a multisystem infection that can affect the joints, heart, and nervous system when untreated. While it can present with cranial nerve palsy, dysphagia is rarely reported. This case highlights a rare instance of dysphagia in Lyme disease, typically known for neurological symptoms like facial nerve palsy. Despite the absence of erythema migrans or a documented tick bite, the patient's facial palsy, hearing loss, vocal cord paralysis, and dysphagia were attributed to Lyme disease. With the rising prevalence of Lyme disease, similar cases may increase, particularly in endemic regions of North America, Europe, and parts of Asia, emphasizing the need for early diagnosis and treatment in patients with unexplained dysphagia.

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莱姆病致吞咽困难1例
莱姆病是一种多系统感染,如果不治疗,可以影响关节、心脏和神经系统。虽然它可以表现为脑神经麻痹,但吞咽困难很少被报道。这个病例突出了莱姆病中罕见的吞咽困难的例子,莱姆病通常以面神经麻痹等神经症状而闻名。尽管没有移行性红斑或记录在案的蜱虫叮咬,但患者的面瘫、听力丧失、声带麻痹和吞咽困难可归因于莱姆病。随着莱姆病流行率的上升,类似病例可能会增加,特别是在北美、欧洲和亚洲部分地区,这强调了对不明原因吞咽困难患者进行早期诊断和治疗的必要性。
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