Solve exciting clinical cases specific to your field of interest via Docplexus’ clinical case challenge. In todays " Infectious Disease Case Challenge ’, join your fellow doctors to discuss and answer today’s question which is about " Treatment For Facial Palsy". Patient History A 42-year-old woman presents with unilateral facial palsy and a stiff neck. She recalls no tick bite or rash. Physical examination shows moderate palsy on the right side of the face.
Relevant laboratory results include an enzyme-linked immunosorbent assay (ELISA) positive for Lyme disease and 6 positive IgG bands on a Western blot. She improves after receiving doxycycline treatment for 3 weeks. However, 6 months later, she presents with ongoing fatigue, arthralgias, headache, and myalgias. Follow-up Lyme serology demonstrates a positive ELISA as well as 5 positive IgG bands and 1 positive IgM band on Western…
