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Lyme disease in children.

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Neurologic manifestations of
Lyme disease are common in children, among whom the incidence of
Lyme disease is higher than among adults. Cranioneuropathies, in particular palsy of the facial nerve, occur in approximately 3-5% of children with
Lyme disease, followed in frequency by meningitis (1% of symptomatic children). Children with only non-specific symptoms such as headache, arthralgia or fatigue commonly are misdiagnosed as having
Lyme disease. Although such non-specific symptoms often accompany more specific signs and symptoms (e.g., erythema migrans, arthritis) in children with
Lyme disease, very rarely are non-specific symptoms the sole manifestation of
Lyme disease. A number of carefully conducted follow-up studies have indicated that the prognosis is excellent for children with
Lyme disease who have been treated with standard antimicrobial regimens.

Semin Neurol. 1997 Mar;17(1):39-44. Review

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