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He was diagnosed with early Lyme neuroborreliosis and treated with 28 days of intravenous ceftriaxone. While the painful meningoradiculitis, also known as Bannwarth syndrome, is more commonly seen in Europe, facial palsy is more frequently encountered in the USA. Clinical manifestations of neuroborreliosis are important to recognise as the classic presentation varies by geography and on occasion repeat serological testing may be necessary.<\/jats:p>","DOI":"10.1136\/bcr-2017-223307","type":"journal-article","created":{"date-parts":[[2018,1,23]],"date-time":"2018-01-23T23:30:21Z","timestamp":1516750221000},"page":"bcr-2017-223307","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Cranial neuropathy and severe pain due to early disseminated <i>Borrelia burgdorferi<\/i> infection"],"prefix":"10.1136","volume":"2018","author":[{"given":"Derek","family":"Ebner","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine, Mayo Clinic Minnesota, Rochester, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelsey","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Neurology, Mayo Clinic Minnesota, Rochester, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"DeSimone","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Mayo Clinic Minnesota, Rochester, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6499-5543","authenticated-orcid":false,"given":"Muhammad Rizwan","family":"Sohail","sequence":"additional","affiliation":[{"name":"Division of Infectious Disease, Mayo Clinic Minnesota, Rochester, Minnesota, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,1,23]]},"reference":[{"key":"2025082802541448000_2018.jan23_1.bcr-2017-223307.1","unstructured":"Eisen R . 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