[Multiple erythema migrans, Borrelia lymphocytoma and neuroborreliosis in a child].

Autor:	Schei K; Barne- og ungdomsavdelinga, Helse Møre og Romsdal, Ålesund sjukehus, og, Fakultet for medisin og helsevitskap, NTNU., Modalsli EH; Hudavdelinga, St. Olavs hospital, og, Institutt for klinisk og molekylær medisin, NTNU., Nag T; Barne- og ungdomsavdelinga, Helse Møre og Romsdal, Ålesund sjukehus.
Jazyk:	norština
Zdroj:	Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke [Tidsskr Nor Laegeforen] 2023 Aug 03; Vol. 143 (11). Date of Electronic Publication: 2023 Aug 03 (Print Publication: 2023).
DOI:	10.4045/tidsskr.23.0159
Abstrakt:	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.
Databáze:	MEDLINE
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