{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:40:03Z","timestamp":1756305603997,"version":"3.44.0"},"reference-count":14,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2015,11,17]]},"abstract":"<jats:p>Lyme disease is a tick-borne illness caused mainly by three species of spirochaete <jats:italic>Borrelia<\/jats:italic>\u2014<jats:italic>B. burgdorferi<\/jats:italic>, <jats:italic>B. afzelii<\/jats:italic> and <jats:italic>B. garinii<\/jats:italic>. It has three stages of presentation\u2014early localised, early-disseminated and late Lyme. Erythema migrans is the most common manifestation of Lyme disease, and is usually seen 7\u201314\u2005days after the tick bite. Patients seldom remember the tick bite. Patients may often present with neurological manifestations indicating neuroborreliosis. These manifestations range from a simple nerve palsy to severe complications such as papilloedema, myelitis or meningitis. We present a case of a 37-year-old woman who presented with partial Horner's syndrome, which was associated with erythema migrans, and other signs of Lyme disease.<\/jats:p>","DOI":"10.1136\/bcr-2015-212784","type":"journal-article","created":{"date-parts":[[2015,12,8]],"date-time":"2015-12-08T12:57:58Z","timestamp":1449579478000},"page":"bcr2015212784","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Erythema migrans associated with partial Horner's syndrome"],"prefix":"10.1136","volume":"2015","author":[{"given":"Isha","family":"Verma","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1080-6449","authenticated-orcid":false,"given":"Abhinav","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Monmouth Medical Center, Long Branch, New Jersey, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,12,7]]},"reference":[{"key":"2025082707221280000_2015.dec07_1.bcr2015212784.1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780200102"},{"key":"2025082707221280000_2015.dec07_1.bcr2015212784.2","doi-asserted-by":"publisher","DOI":"10.1086\/508667"},{"key":"2025082707221280000_2015.dec07_1.bcr2015212784.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2015.02.001"},{"key":"2025082707221280000_2015.dec07_1.bcr2015212784.4","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200306123482423"},{"key":"2025082707221280000_2015.dec07_1.bcr2015212784.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2008.01.017"},{"key":"2025082707221280000_2015.dec07_1.bcr2015212784.6","first-page":"225","article-title":"Reversible Horner's syndrome and Lyme disease","volume":"9","author":"Glauser","year":"1989","journal-title":"J Clin Neuro ophthalmol"},{"key":"2025082707221280000_2015.dec07_1.bcr2015212784.7","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0000000000001616"},{"key":"2025082707221280000_2015.dec07_1.bcr2015212784.8","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9394(14)74924-4"},{"key":"2025082707221280000_2015.dec07_1.bcr2015212784.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2007.12.009"},{"key":"2025082707221280000_2015.dec07_1.bcr2015212784.10","first-page":"ITC2-2","article-title":"In the clinic. Lyme disease","volume-title":"Ann Intern Med","volume":"157","author":"Hu","year":"2012"},{"key":"2025082707221280000_2015.dec07_1.bcr2015212784.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jfo.2014.06.031"},{"key":"2025082707221280000_2015.dec07_1.bcr2015212784.12","unstructured":"Rassbach C , Jantausch B . 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