Case Report: A 57-year-old man with past medical history of hypothyroidism presented multiple times with a three-week history of myalgias, arthralgias and abdominal pain to the emergency department in the month of July 2020. He was repeatedly tested negative for COVID-19 infection during the pandemic. A week later, he developed left peripheral facial weakness. He was diagnosed with Bell’s palsy and treated with steroids and antiviral medications. However, his symptoms continued to progress. Few days later, he presented to the hospital with facial diplegia. On neurological examination, he was unable to close both eyes and was unable to smile. Lyme antibody and Western blot were positive. Brain MRI revealed enhancement of bilateral internal auditory canals, labyrinthine segments, and geniculate ganglions. He was diagnosed with Lyme neuroborreliosis. His symptoms gradually improved after treatment with doxycycline.