Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2004 May;111(5):1023-8.
doi: 10.1016/j.ophtha.2003.08.032.

Orbital Myositis Associated With Borrelia Burgdorferi (Lyme Disease) Infection

Affiliations
Case Reports

Orbital Myositis Associated With Borrelia Burgdorferi (Lyme Disease) Infection

Petros E Carvounis et al. Ophthalmology. .

Abstract

Objective: To report on the clinical findings in a patient with isolated left inferior rectus myositis associated with serologically confirmed Borrelia burgdorferi infection.

Design: Interventional case report.

Testing: Comprehensive clinical, laboratory, and imaging evaluation.

Results: Contrast-enhanced computed tomography showed a swollen inferior rectus muscle with infraorbital soft tissue swelling in a patient with diplopia and prior symptoms consistent with manifestations of Lyme disease. Positive serum and cerebrospinal fluid antibodies to B. burgdorferi by enzyme-linked immunoassay were confirmed by Western blot, and the cerebrospinal fluid/serum antibody ratio was elevated. No alternative cause for orbital myositis was found, and treatment with antibiotics resulted in a complete recovery.

Conclusions: Orbital myositis should be added to the expanding list of ophthalmic manifestations of Lyme disease. Correct diagnosis and appropriate antibiotic therapy may reduce the likelihood of further neurologic or ophthalmologic sequelae.

Similar articles

See all similar articles

Cited by 5 articles

  • Unilateral epiphora in an adolescent.
    Tevaraj P, Ibrahim NM. Tevaraj P, et al. Malays Fam Physician. 2014 Aug 31;9(2):58-60. eCollection 2014. Malays Fam Physician. 2014. PMID: 25883767 Free PMC article. No abstract available.
  • Two cases of orbital myositis as a rare feature of lyme borreliosis.
    Sauer A, Speeg-Schatz C, Hansmann Y. Sauer A, et al. Case Rep Infect Dis. 2011;2011:372470. doi: 10.1155/2011/372470. Epub 2011 Jul 28. Case Rep Infect Dis. 2011. PMID: 22567470 Free PMC article.
  • Parasitic infections and myositis.
    El-Beshbishi SN, Ahmed NN, Mostafa SH, El-Ganainy GA. El-Beshbishi SN, et al. Parasitol Res. 2012 Jan;110(1):1-18. doi: 10.1007/s00436-011-2609-8. Epub 2011 Sep 1. Parasitol Res. 2012. PMID: 21881948 Review.
  • Orbital myositis: diagnosis and management.
    Costa RM, Dumitrascu OM, Gordon LK. Costa RM, et al. Curr Allergy Asthma Rep. 2009 Jul;9(4):316-23. doi: 10.1007/s11882-009-0045-y. Curr Allergy Asthma Rep. 2009. PMID: 19656480 Review.
  • Imaging and skeletal muscle disease.
    Olsen NJ, Qi J, Park JH. Olsen NJ, et al. Curr Rheumatol Rep. 2005 Apr;7(2):106-14. doi: 10.1007/s11926-005-0062-3. Curr Rheumatol Rep. 2005. PMID: 15760589 Review.

Publication types

MeSH terms

LinkOut - more resources

Feedback