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Case Reports in Infectious Diseases
Volume 2017, Article ID 4521526, 3 pages
Case Report

Bilateral Facial Diplegia: A Rare Presenting Symptom of Lyme

Duke Lifepoint Conemaugh Memorial Medical Center, Department of Emergency Medicine, Johnstown, PA, USA

Correspondence should be addressed to John Ashurst; moc.liamg@hcraeser.23.nhoj.tsruhsa

Received 14 September 2016; Revised 21 December 2016; Accepted 4 January 2017; Published 16 March 2017

Academic Editor: Sinésio Talhari

Copyright © 2017 John Ashurst and Matthew Perry. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Lyme disease is a common disease that is faced by the physician but also acts a mimicker of many other disease processes. Facial palsies, especially bilateral, are a relatively rare presenting symptom of Lyme disease and may warrant further investigation. A thorough history and physical examination coupled with precision testing may aid the physician when faced with a patient with the diagnostic dilemma of facial diplegia.