Multippel erythema migrans, borrelialymfocytom og nevroborreliose hos eit barn.
Journal
Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke
ISSN: 0807-7096
Titre abrégé: Tidsskr Nor Laegeforen
Pays: Norway
ID NLM: 0413423
Informations de publication
Date de publication:
15 08 2023
15 08 2023
Historique:
medline:
18
8
2023
pubmed:
17
8
2023
entrez:
17
8
2023
Statut:
epublish
Résumé
Lyme disease after a tick bite often presents as erythema migrans, yet less frequent variants of this disease, such as Borrelia lymphocytoma, multiple erythema migrans and neuroborreliosis, are also seen occasionally. We report a case of a tick-bitten child who first presented with an indistinct macular erythema around the left eye and a more distinct macular erythema on and around the left ear. The next day, she developed a facial palsy. The case was interpreted as facial multiple erythema migrans and Borrelia lymphocytoma on the ear, followed by neuroborreliosis. The diagnosis of lymphocytoma was made from clinical findings and PCR of skin biopsy. She recovered quickly after intravenous ceftriaxone and is now healthy.
Sections du résumé
BACKGROUND
Lyme disease after a tick bite often presents as erythema migrans, yet less frequent variants of this disease, such as Borrelia lymphocytoma, multiple erythema migrans and neuroborreliosis, are also seen occasionally.
CASE PRESENTATION
We report a case of a tick-bitten child who first presented with an indistinct macular erythema around the left eye and a more distinct macular erythema on and around the left ear. The next day, she developed a facial palsy.
INTERPRETATION
The case was interpreted as facial multiple erythema migrans and Borrelia lymphocytoma on the ear, followed by neuroborreliosis. The diagnosis of lymphocytoma was made from clinical findings and PCR of skin biopsy. She recovered quickly after intravenous ceftriaxone and is now healthy.
Identifiants
pubmed: 37589351
pii: 23-0159
doi: 10.4045/tidsskr.23.0159
doi:
Types de publication
Case Reports
English Abstract
Langues
nor
Sous-ensembles de citation
IM