Recurrent laryngeal nerve paralysis due to subclinical Lyme borreliosis

T. Karosi, T. Rácz, É Szekanecz, Á Tóth, I. Sziklai

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: We report an extremely rare case of recurrent laryngeal nerve paralysis due to subclinical Lyme borreliosis. Method: Case report presenting a 15-year-old girl referred with hoarseness and soft voice. Results: Right-sided recurrent laryngeal nerve paralysis was observed using videolaryngoscopy. Imaging was used to exclude intracranial, cervical and intrathoracic embryological lesions, vascular malformations and tumours. Laboratory and electrophysiological investigations were used to exclude inflammatory and paraneoplastic processes, endocrinopathy and metabolic disorders. Serological testing was positive for Lyme disease. Parenteral ceftriaxone therapy was commenced. The patient's nerve paralysis showed complete recovery on the seventh day of antibiotic treatment; this was confirmed by videolaryngoscopy. Conclusion: Recurrent laryngeal nerve paralysis is an extremely rare complication of neuroborreliosis associated with Lyme disease. In patients with recurrent laryngeal nerve paralysis in whom the clinical history is uncertain and the usual diagnostic methods give negative results, screening with anti-borrelia immunoglobulin M is suggested.

Original languageEnglish
Pages (from-to)336-338
Number of pages3
JournalJournal of Laryngology and Otology
Volume124
Issue number3
DOIs
Publication statusPublished - Mar 2010

Fingerprint

Recurrent Laryngeal Nerve
Vocal Cord Paralysis
Lyme Disease
Borrelia
Hoarseness
Vascular Malformations
Ceftriaxone
Paralysis
Immunoglobulin M
Anti-Bacterial Agents
Therapeutics
Neoplasms

Keywords

  • Cephalosporins
  • Lyme disease
  • Neuroborreliosis
  • Recurrent nerve paralysis

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Recurrent laryngeal nerve paralysis due to subclinical Lyme borreliosis. / Karosi, T.; Rácz, T.; Szekanecz, É; Tóth, Á; Sziklai, I.

In: Journal of Laryngology and Otology, Vol. 124, No. 3, 03.2010, p. 336-338.

Research output: Contribution to journalArticle

Karosi, T. ; Rácz, T. ; Szekanecz, É ; Tóth, Á ; Sziklai, I. / Recurrent laryngeal nerve paralysis due to subclinical Lyme borreliosis. In: Journal of Laryngology and Otology. 2010 ; Vol. 124, No. 3. pp. 336-338.
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