A 21-year-old male presented with complains of decreased facial movement and facial swelling. His dentist had presumed dental infection and had advised clindamycin. However, his symptoms worsened with time. He had difficulty in opening or closing his mouth and in chewing.
He had no significant medical history. Physical examination His vital signs were within limit Difficulty in smiling or raising brows No drooling was observed No change in phonation was observed No evidence of dental abscess or discomfort was observed He had dental fillings Bilateral peripheral nerve palsy was observed Other neurological examinations were normal Sensory loss of touch over the cheeks was observed Laboratory Examination Complete blood count – normal Basic metabolic panel – normal Sedimentation rate- normal Rapid Lyme titer- Positive IgG and IgM What can be the probable diagnosis? *This patient case is…
