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Ear presentation of Lyme borreliosis in a child

S M Keh1, J P Vestey, D Ho-Yen

  • 1Department of Otolaryngology, Raigmore Hospital, Inverness, Scotland, UK. siew.keh@doctors.net

The Journal of Laryngology and Otology
|August 22, 2012
PubMed

Insights

This case report highlights a rare ear presentation of cutaneous borrelia, specifically borrelia lymphocytoma cutis benigna, in a child. Clinicians should consider this condition in the differential diagnosis of persistent, unilateral earlobe swelling.

Area of Science:

  • Dermatology
  • Pediatrics
  • Infectious Diseases

Background:

  • Cutaneous borrelia infections, caused by Borrelia burgdorferi sensu lato, can manifest in various ways.
  • Borrelia lymphocytoma cutis benigna (BLCB) is a rare manifestation, often presenting as a localized skin lesion.

Observation:

  • A case of BLCB in a child presenting with unilateral earlobe swelling is described.
  • The child was otherwise healthy, with no systemic signs of infection.

Findings:

  • The earlobe swelling was persistent and inflamed, mimicking other common pediatric conditions.
  • Literature review on BLCB management and clinical presentations is included.

Implications:

  • BLCB should be considered in the differential diagnosis of persistent, unilateral, inflamed earlobe swelling in children.
  • Early recognition and diagnosis are crucial for appropriate management and to prevent potential complications.
Abstract

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