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Lyme disease as the cause of chiasmal optic neuritis in a 10-year-old girl.
The patient underwent ophthalmologic, laboratory, and imaging examinations.
The patient’s history and clinical course were consistent with
Lyme disease. Laboratory studies disclosed increased serum
Lyme immunoglobulin G titer, which improved after antibiotic treatment.
Lyme disease should be considered in the differential diagnosis of chiasmal optic neuritis.