Acute Febrile Illness Accompanied by 7th and 12th Cranial Nerve Palsy Due to Lyme Disease Following Travel to Rural Ecuador: A Case Report and Mini-Review DOI Creative Commons
Teslin S. Sandstrom,

Kumudhavalli Kavanoor Sridhar,

J G Joshi

и другие.

Tropical Medicine and Infectious Disease, Год журнала: 2025, Номер 10(1), С. 21 - 21

Опубликована: Янв. 14, 2025

The causative agent of Lyme disease, Borrelia burgdorferi, is endemic to Canada, the northeastern United States, northern California, and temperate European regions. It rarely associated with a travel-related exposure. In this report, we describe resident southern Ontario, Canada who developed rash, fever, cranial nerve VII XII palsies following 12 day trip Ecuador Galapagos islands approximately four weeks prior referral our center. Comprehensive microbiological work-up was notable for reactive burgdorferi serology by modified two-tier testing (MTTT), confirming diagnosis disease. This case highlights important teaching points, including classic clinical presentation acute disease compatible exposure pre-travel in Lyme-endemic region initial manifestations during travel acquisition arthropod bites Ecuador, more severe post-travel. Given history South American country which exceedingly uncommon, consideration infections acquired necessitated broad differential comprehensive than would have been required absence tropical travel. Additionally, involvement an uncommon feature neuroborreliosis, therefore warranted alternative, non-infectious etiology such as stroke or mass lesion, both were excluded patient through neuroimaging.

Язык: Английский

Acute Febrile Illness Accompanied by 7th and 12th Cranial Nerve Palsy Due to Lyme Disease Following Travel to Rural Ecuador: A Case Report and Mini-Review DOI Creative Commons
Teslin S. Sandstrom,

Kumudhavalli Kavanoor Sridhar,

J G Joshi

и другие.

Tropical Medicine and Infectious Disease, Год журнала: 2025, Номер 10(1), С. 21 - 21

Опубликована: Янв. 14, 2025

The causative agent of Lyme disease, Borrelia burgdorferi, is endemic to Canada, the northeastern United States, northern California, and temperate European regions. It rarely associated with a travel-related exposure. In this report, we describe resident southern Ontario, Canada who developed rash, fever, cranial nerve VII XII palsies following 12 day trip Ecuador Galapagos islands approximately four weeks prior referral our center. Comprehensive microbiological work-up was notable for reactive burgdorferi serology by modified two-tier testing (MTTT), confirming diagnosis disease. This case highlights important teaching points, including classic clinical presentation acute disease compatible exposure pre-travel in Lyme-endemic region initial manifestations during travel acquisition arthropod bites Ecuador, more severe post-travel. Given history South American country which exceedingly uncommon, consideration infections acquired necessitated broad differential comprehensive than would have been required absence tropical travel. Additionally, involvement an uncommon feature neuroborreliosis, therefore warranted alternative, non-infectious etiology such as stroke or mass lesion, both were excluded patient through neuroimaging.

Язык: Английский

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