{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:41:16Z","timestamp":1789692076712,"version":"4.0.1"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,6,6]],"date-time":"2022-06-06T00:00:00Z","timestamp":1654473600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,6,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A 9-year-old previously healthy boy presented with high-grade intermittent fever, severe headache associated with neck stiffness for 5\u2009days, rash over trunk and extremities for 4\u2009days, vomiting for 3\u2009days and diplopia for 2\u2009days. There was no history of seizures, abnormal body movements, altered sensorium or focal deficits. On examination, he had maculopapular erythematous rashes over the trunk and extremities and erythema multiforme. He had bilateral abducens nerve palsy and the rest of the cranial nerve, sensory and motor examination was normal. He had neck stiffness and positive Kernig\u2019s sign. Fundus examination showed grade 4 papilledema. Cerebrospinal fluid workup revealed elevated opening pressure, lymphocytic pleocytosis, normal protein and glucose levels. Neuroimaging showed features suggestive of intracranial hypertension. Borrelia IgM and IgG antibodies came positive. The uniqueness of our case lies with two rare presenting manifestations of Lyme neuroborreliosis in the same child.<\/jats:p>","DOI":"10.1093\/tropej\/fmac060","type":"journal-article","created":{"date-parts":[[2022,7,22]],"date-time":"2022-07-22T14:00:30Z","timestamp":1658498430000},"source":"Crossref","is-referenced-by-count":2,"title":["Lyme Neuroborreliosis with Intracranial Hypertension and Erythema Multiforme: A Rare Presentation"],"prefix":"10.1093","volume":"68","author":[{"given":"Monika","family":"Chhajed","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Chaitanya Hospital , Chandigarh 160047, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amit","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Radiodiagnosis, MM Institute of Medical Sciences and Research , Ambala, Haryana 133207, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3494-8863","authenticated-orcid":false,"given":"Pradeep Kumar","family":"Gunasekaran","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, All India Institute of Medical Sciences , Jodhpur, Rajasthan 342005, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navdeep","family":"Dhaliwal","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Chaitanya Hospital , Chandigarh 160047, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3153-0736","authenticated-orcid":false,"given":"Lokesh","family":"Saini","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, All India Institute of Medical Sciences , Jodhpur, Rajasthan 342005, 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