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A Longitudinal Cohort Study of Children with Peripheral Facial Nerve Palsy in Lyme Disease Endemic Areas
Sophi R Lederer1, Desiree N Neville2, Fran Balamuth3
1Division of Emergency Medicine, Boston Children's Hospital, Boston, MA.
The Journal of Pediatrics
|November 2, 2025
Abstract:
In our longitudinal cohort of 385 children with peripheral facial nerve palsy, 7 of 145 (4.8%; 95% CI 2.4-9.6%) with Lyme disease did not initially receive appropriate antibiotics and 98 of 240 (40.8%; 95% CI 34.8-47.2%) with idiopathic facial palsy received antibiotics unnecessarily. A rapid and accurate Lyme diagnostic could improve initial treatment.

