A patient with a positive Lyme titer presents with left-sided unilateral facial droop and inability to close the left eye.This is most likely due to:

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The presentation of left-sided unilateral facial droop and inability to close the left eye is consistent with Bell's palsy, which is a type of facial paralysis that is typically caused by a viral infection, such as Lyme disease in this case. Trigeminal neuralgia is characterized by facial pain and not facial droop. Temporomandibular joint syndrome primarily affects the jaw and does not involve facial droop. Multiple sclerosis can cause facial droop, but it is typically bilateral and not unilateral.

A Patient with a Positive Lyme Titer Presents with Left-Sided