{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T10:39:39Z","timestamp":1777804779478,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"9-10","license":[{"start":{"date-parts":[[2024,8,1]],"date-time":"2024-08-01T00:00:00Z","timestamp":1722470400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["UL1TR003017"],"award-info":[{"award-number":["UL1TR003017"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Child Neurol"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:p>This retrospective chart review examined children with documented Lyme disease serology in New Jersey aged &lt;21 years presenting with facial nerve palsy. The presence of symptoms including tick bite, fever, headache, and arthritis was recorded. Data were categorized based on demographic factors, and multivariate regression was employed. We enrolled 122 children, 54% female (mean age of 11.4\u2009\u00b1\u20095.1 years); 22.1% had Lyme disease. Fever was a significant predictor of Lyme disease ( P\u2009=\u2009.01), confirmed by multivariate regression (odds ratio [OR]\u2009=\u200916.11, 95% confidence interval [CI]\u2009=\u20092.04, 366.14), as was male gender ( P\u2009=\u2009.01, OR\u2009=\u20093.68, 95% CI\u2009=\u20091.21, 12.89). This association held especially true in Lyme-endemic regions (prevalence\u2009\u2265\u20090.35). The combination of headache with fever was also significantly predictive ( P\u2009=\u2009.01). We found no significant predictive value in the remaining symptoms. These findings suggest that clinical predictors may be useful in diagnosing Lyme disease and initiating early empiric treatment.<\/jats:p>","DOI":"10.1177\/08830738241272069","type":"journal-article","created":{"date-parts":[[2024,8,28]],"date-time":"2024-08-28T11:00:11Z","timestamp":1724842811000},"page":"310-316","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Seroprevalence of Lyme Disease in Children With Facial Nerve Palsy"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8880-4406","authenticated-orcid":false,"given":"Bethany","family":"Murphy","sequence":"first","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School, Piscataway, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julissa","family":"Veras","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson Medical School, Piscataway, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sindhura","family":"Kolli","sequence":"additional","affiliation":[{"name":"Rutgers Robert Wood Johnson School of Biomedical Sciences, Piscataway, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brielle","family":"Formanowski","sequence":"additional","affiliation":[{"name":"Biostatistics and Epidemiology Services Center, Rutgers School of Public Health, Rutgers University, Piscataway, NJ, USA"},{"name":"Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Rutgers University, Piscataway, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Greenberg","sequence":"additional","affiliation":[{"name":"Biostatistics and Epidemiology Services Center, Rutgers School of Public Health, Rutgers University, Piscataway, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lawrence","family":"Kleinman","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amisha","family":"Malhotra","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vikram","family":"Bhise","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,8,28]]},"reference":[{"key":"bibr1-08830738241272069","unstructured":"Centers for Disease Control and Prevention, National Center for Emerging and Zoonotic Infectious Diseases, Division of Vector-Borne Diseases. How many people get Lyme disease? cdc.gov. Updated January 13, 2021. 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