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Ear, nose and throat manifestations of Lyme disease

Published online by Cambridge University Press:  29 June 2007

T. H. J. Lesser ,
J. C. Dort  and
D. P. B. Simmen
T. H. J. Lesser*
Affiliation:
Zurich, Switzerland
J. C. Dort
Affiliation:
Zurich, Switzerland
D. P. B. Simmen
Affiliation:
Zurich, Switzerland
*
T.H.J. Lesser, Department of ENT, University Hospital of Wales, Cardiff, Wales, U.K.
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Abstract

The manifestations of Lyme disease as they may present to the ENT surgeon are discussed. The most important ENT symptom is facial palsy. Particularly when combined with other cranial palsies, systemic illness or signs of meningeal irritation, the diagnosis must be considered. Three case reports are used to illustrate the presentation and diagnosis and treatment of Lyme disease. The characteristics of the disease are reviewed and the limitations of serological testing outlined. The literature has concentrated on bilateral or relapsing facial palsy. A review of palsies in Zurich that presented to the ENT clinic found only unilateral and partial palsies. The diagnosis should be considered in every case of facial palsy of unknown aetiology especially in children.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 4 , April 1990 , pp. 301 - 304
Copyright
Copyright © JLO (1984) Limited 1990

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