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Case Reports
. 2020 Feb 24:20:e00730.
doi: 10.1016/j.idcr.2020.e00730. eCollection 2020.

Lyme disease and hemi-diaphragmatic paralysis: A case report and review of literature

Abhimanyu Aggarwal  1 , Denzil Reid  2 , Durane Walker  1
Affiliations
Case Reports

Lyme disease and hemi-diaphragmatic paralysis: A case report and review of literature

Abhimanyu Aggarwal et al. IDCases. .

Abstract

Borrelia burgdorferi is a spirochete that can cause Lyme disease from an infected tick bite causing a myriad of syndromes ranging from erythema migrans to oligoarticular arthritis and/or atrioventricular conduction block in the heart. It can also infect the central nervous system (CNS) and peripheral nervous system (PNS) causing cranial neuropathy, radiculoneuropathy as well as myelopathy. It has rarely been reported to involve the phrenic nerve presenting as dyspnea from diaphragmatic paralysis. Here, we present a case of a patient presenting with orthopnea and dyspnea on exertion who was diagnosed with Lyme disease causing unilateral diaphragmatic paralysis with resolution after treatment.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Fig. 1
Fig. 1
Flow volume loop one month after discharge.
Fig. 2
Fig. 2
Flow volume loop two months after discharge.
Fig. 3
Fig. 3
Flow volume loop 12 months after discharge.
See this image and copyright information in PMC

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