Bilateral Facial Nerve Palsy in a Young Woman From West Bengal: Do Not Forget Lyme Neuroborreliosis

Niladri Kayal, Ritwik Ghosh, Partha Sarathi Mazumdar, Shambaditya Das, Saumyajit Ghosh, Alak Pandit, Julián Benito-LeonNeurology India 2021 69(4):997-1001 Borrelia burgdorferi can affect the nervous system in various ways, which can generate significant confusion and dilemma regarding diagnosis. From India, a country until recently known to be a nonendemic zone for Lyme disease, several cases and one study of Lyme neuroborreliosis have been published. The aim of this study was to describe a young woman with bilateral facial nerve palsy as the presenting manifestation of Lyme neuroborreliosis. We herein report a case of a lactating woman with acute onset progressive ascending flaccid tetraparesis that was preceded by a misdiagnosed bilateral facial nerve palsy. She was finally diagnosed to be a case of acute Lyme neuroborreliosis, which responded favorably to intravenous and orally administered antibiotics. The possibility of Lyme neuroborreliosis should be considered more often from now on because in the last year four cases with the kindred clinical syndrome have been described from a so-called “nonendemic zone.”
Source: Neurology India - Category: Neurology Authors: Source Type: research

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CONCLUSIONS: Clinical and topical variants and forms of EF in children are associated with etiology, have different rates of complications, the nature of the course and outcomes, the knowledge of which makes it possible to optimize the diagnostic process.PMID:35038852 | DOI:10.17116/jnevro202112111286
Source: Herpes - Category: Infectious Diseases Authors: Source Type: research
Vaccine. 2022 Jan 13:S0264-410X(22)00006-8. doi: 10.1016/j.vaccine.2022.01.003. Online ahead of print.ABSTRACTVaccination guidelines for dogs and cats indicate that core vaccines (for dogs, rabies, distemper, adenovirus, parvovirus; for cats, feline parvovirus, herpes virus-1, calicivirus) are essential to maintain health, and that non-core vaccines be administered according to a clinician's assessment of a pet's risk of exposure and susceptibility to infection. A reliance on individual risk assessment introduces the potential for between-practice inconsistencies in non-core vaccine recommendations. A study was initiated t...
Source: Herpes - Category: Infectious Diseases Authors: Source Type: research
Conclusion: This systematic review, including all reported cases and our case report, supports evidence of ocular infection ofBorrelia species. Furthermore, in case of suspicion of infection and seronegativity, it is justified to look forBorrelia in eye tissue samples. In addition, microscopy without using PCR is not sufficient to confirm the diagnosis of borreliosis on ocular tissue. In the articles studied, there was no unambiguous recommendation of treatment.Ophthalmic Res
Source: Ophthalmic Research - Category: Opthalmology Source Type: research
Neurol Sci. 2022 Jan 10. doi: 10.1007/s10072-022-05865-8. Online ahead of print.ABSTRACTA 35-year-old Caucasian woman presented an abrupt onset of bilateral impaired vision, and arrived to our attention two weeks later. She had a previous episode of mild dizziness. She underwent a fluorescein angiography showing branch retinal artery occlusions and a brain magnetic resonance imaging (MRI) revealing several supraand infratentorial FLAIR-hyperintense white matter lesions, two with contrast enhancement. Thrombophilic, autoimmune and infective (including Human Immunodeficiency Virus, Borrelia burgdorferi, Hepatitis B Virus, He...
Source: Herpes - Category: Infectious Diseases Authors: Source Type: research
Br J Dermatol. 2022 Jan 6. doi: 10.1111/bjd.20977. Online ahead of print.NO ABSTRACTPMID:34990013 | DOI:10.1111/bjd.20977
Source: The British Journal of Dermatology - Category: Dermatology Authors: Source Type: research
This study identified and utilized isolates deficient in PFam54 to associate the defects with the absence of these proteins, building the foundation to further study the role of each PFam54 protein in contributing to Bbsl pathogenesis. Importance To establish infections, Lyme borreliae utilize various means to overcome the host's immune system. Proteins encoded by the PFam54 gene array play a role for spirochete survival in vitro and in vivo. Moreover, this gene array has been described in all currently available Lyme borreliae genomes. By investigating the first two Borrelia bavariensis isolates naturally lacking the enti...
Source: Applied and Environmental Microbiology - Category: Microbiology Authors: Source Type: research
Appl Environ Microbiol. 2022 Jan 5:aem0239121. doi: 10.1128/aem.02391-21. Online ahead of print.ABSTRACTIn the northeastern United States, the emergence of Lyme disease has been associated, in part, with the increase of small forest patches. Such disturbed habitat is exploited by generalist species, such as white-footed mice, which are considered the host with the greatest reservoir capacity for the agents of Lyme disease (Borrelia burgdorferi sensu stricto) and human babesiosis (Babesia microti). Spatial risk analyses have identified edge habitat as particularly risky. Using a retrotransposon-based quantitative PCR assay ...
Source: Applied and Environmental Microbiology - Category: Microbiology Authors: Source Type: research
This study identified and utilized isolates deficient in PFam54 to associate the defects with the absence of these proteins, building the foundation to further study the role of each PFam54 protein in contributing to Bbsl pathogenesis. Importance To establish infections, Lyme borreliae utilize various means to overcome the host's immune system. Proteins encoded by the PFam54 gene array play a role for spirochete survival in vitro and in vivo. Moreover, this gene array has been described in all currently available Lyme borreliae genomes. By investigating the first two Borrelia bavariensis isolates naturally lacking the enti...
Source: Applied and Environmental Microbiology - Category: Microbiology Authors: Source Type: research
Appl Environ Microbiol. 2022 Jan 5:aem0239121. doi: 10.1128/aem.02391-21. Online ahead of print.ABSTRACTIn the northeastern United States, the emergence of Lyme disease has been associated, in part, with the increase of small forest patches. Such disturbed habitat is exploited by generalist species, such as white-footed mice, which are considered the host with the greatest reservoir capacity for the agents of Lyme disease (Borrelia burgdorferi sensu stricto) and human babesiosis (Babesia microti). Spatial risk analyses have identified edge habitat as particularly risky. Using a retrotransposon-based quantitative PCR assay ...
Source: Applied and Environmental Microbiology - Category: Microbiology Authors: Source Type: research
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Source: Danish Medical Journal - Category: General Medicine Authors: Source Type: research
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