INTESTINAL PSEUDOOBSTRUCTION IN ACUTE LYME-DISEASE - A CASE-REPORT

We report here a case of acute Lyme disease in a 61-yr-old man who dev eloped a facial nerve paralysis and a relentless intestinal pseudoobst ruction 2 wk after the initial prodrome. Both the facial nerve paralys is and pseudoobstruction persisted for a month until the patient sough t medical attention. Both lesions resolved only after treatment for Ly me disease was initiated. The temporal association of the pseudoobstru ction with the somatic cranial neuropathy and the response of both to specific therapy for Lyme disease suggest that the former was likely t he result of a reversible autonomic neuropathy or dysfunction. (C) 199 8 by Am. Cell. of Gastroenterology.