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Bilateral facial nerve palsy as a presentation of coexisting neuroborreliosis and post-acute COVID-19 syndrome.

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  • Additional Information
    • Source:
      Publisher: Medicinska Naklada Country of Publication: Croatia NLM ID: 9424324 Publication Model: Print Cited Medium: Internet ISSN: 1332-8166 (Electronic) Linking ISSN: 03539504 NLM ISO Abbreviation: Croat Med J Subsets: MEDLINE
    • Publication Information:
      Publication: 2001- : Zagreb : Medicinska Naklada
      Original Publication: Zagreb : University of Zagreb Medical School, [1992-
    • Subject Terms:
      Lyme Neuroborreliosis*/complications ; Lyme Neuroborreliosis*/diagnosis ; Lyme Neuroborreliosis*/drug therapy ; COVID-19*/complications ; Facial Paralysis*/etiology ; Facial Paralysis*/diagnosis ; Facial Paralysis*/therapy; Humans ; Facial Nerve ; Post-Acute COVID-19 Syndrome ; SARS-CoV-2
    • Abstract:
      Bilateral simultaneous facial nerve palsy is an extremely rare condition that may be induced by infection (bacterial, viral, or fungal) or noninfective causes (autoimmune, traumatic, or structural). The treatment depends on the underlying disorder, and, if it is introduced on time, the disease is in most cases completely reversible. We report on a patient with bilateral simultaneous facial nerve palsy without an obvious cause. The possible causes were SARS-CoV-2 infection and postvaccination syndrome. After we excluded the SARS-CoV-2 infection, a wide range of diagnostic tests were conducted. Magnetic resonance imaging after gadolinium intravenous application showed bilateral facial nerve enhancement. Serological tests revealed Borrelia burgdorferi, and the result was confirmed by an enzyme-linked immunosorbent assay (IgM positivity). After 14 days of antibiotic therapy, the symptoms resolved completely without sequelae. This report shows that the symptoms of bilateral simultaneous facial nerve palsy may completely resolve if thorough clinical investigation and an appropriate early treatment are applied.
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    • Publication Date:
      Date Created: 20240103 Date Completed: 20240105 Latest Revision: 20240121
    • Publication Date:
      20240121
    • Accession Number:
      PMC10797239
    • Accession Number:
      38168526