Peripheral facial palsy caused by the Borrelia spirochete.

Abstract:

:Forty-three consecutive patients with peripheral facial palsy were examined to evaluate the incidence of facial palsy caused by the tick-borne Borrelia spirochete in a non-coastal area in the south of Sweden. Six (14%) of the patients were found to have a Borrelia infection. The incidence of Borrelia-induced facial palsy was 0.39/10,000 inhabitants, which is less than in neighbouring coastal areas but still high enough to cause serious concern when dealing with facial palsies. In contrast to Bell's palsy, a Borrelia infection can cause serious generalized illness if not properly treated. Negative Borrelia serology of the serum and the cerebrospinal fluid (CSF) and a normal CSF analysis did not exclude the Borrelia etiology. Tick bites, signs of polyneuropathy, meningeal symptoms and Borrelia-associated erythema proved to be important signs for the diagnosis.

journal_name

Acta Otolaryngol

journal_title

Acta oto-laryngologica

authors

Bjerkhoel A,Carlsson M,Ohlsson J

doi

10.3109/00016488909125548

subject

Has Abstract

pub_date

1989-11-01 00:00:00

pages

424-30

issue

5-6

eissn

0001-6489

issn

1651-2251

journal_volume

108

pub_type

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