Diagnostic Lumbar Puncture Among Children With Facial Palsy in a Lyme Disease Endemic Area

J Pediatric Infect Dis Soc. 2017 Jun 1;6(2):205-208. doi: 10.1093/jpids/piw036.

Abstract

We identified 620 children with peripheral facial palsy of which 211 (34%) had Lyme disease. The 140 children who had a lumbar puncture performed were more likely to be hospitalized (73% LP performed vs 2% no LP) and to receive parenteral antibiotics (62% LP performed vs 6% no LP).

Keywords: Lyme disease; Lyme meningitis.; cerebrospinal fluid pleocytosis; facial palsy; lumbar puncture.

MeSH terms

  • Adolescent
  • Boston
  • Child
  • Cross-Sectional Studies
  • Facial Paralysis / cerebrospinal fluid
  • Facial Paralysis / diagnosis*
  • Facial Paralysis / etiology
  • Female
  • Humans
  • Lyme Disease / cerebrospinal fluid
  • Lyme Disease / complications
  • Lyme Disease / diagnosis*
  • Male
  • Retrospective Studies
  • Spinal Puncture*