Lyme neuroborreliosis: a diagnostic headache.
نویسندگان
چکیده
Case 1: A 4-year-old girl presented to our emergency department (ED) during the height of summer with 5 days of left-sided facial droop, which spared the forehead. The patient also complained of severe fatigue, 1 week of frontal headaches, urinary retention, intermittent erythematous rash around her eyes and behind her knees, and an increase in night terrors. Three days before admission, she was seen by her pediatrician, who sent Lyme serologies and empirically started amoxicillin given that the patient lived in an endemic area. She notably had no known history of tick bite or rash. Lyme serologies returned negative, so the patient was referred into our ED.
منابع مشابه
Lyme neuroborreliosis in cases of non-specific neurological symptoms.
BACKGROUND Analysis of cerebrospinal fluid is required in order to diagnose Lyme neuroborreliosis. We investigated the symptoms of patients in a highly endemic area who were referred for evaluation of possible Lyme neuroborreliosis, and explored whether cerebrospinal fluid analysis confirmed or ruled out the diagnosis. METHOD We reviewed the medical records of all patients who underwent lumba...
متن کاملNeuroborreliosis REVIEW
ing tick bite (Garin-Bujadoux-Bannwarth, or Bannwarth’s syndrome). Because a tick-borne infection was suspected, some patients were empirically treated with penicillin and rapidly recovered. Then, in the late 1970s, a tick-borne disease was diagnosed in children in Lyme, Connecticut. The fi rst manifestation of what at fi rst was thought to be a novel disease, named Lyme disease, was erythema a...
متن کاملLyme disease presenting with persistent headache.
Increased intracranial pressure in patients with Lyme disease is an uncommon but reported finding. We discuss 2 patients from Lyme endemic areas who initially presented with headache, nausea, and vomiting and were eventually found to have increased intracranial pressure, a mild cerebrospinal fluid pleocytosis, and positive Lyme titers. It has been shown that increased intracranial pressure in a...
متن کاملLyme neuroborreliosis in HIV-1 positive men successfully treated with oral doxycycline: a case series and literature review
INTRODUCTION Lyme neuroborreliosis is the most common bacterial central nervous system infection in the temperate parts of the northern hemisphere. Even though human immunodeficiency virus (HIV) -1 infection is common in Lyme borreliosis endemic areas, only five cases of co-infection have previously been published. Four of these cases presented with typical Lyme neuroborreliosis symptoms such a...
متن کاملDelayed diagnosis of neuroborreliosis presenting as bell palsy and meningitis.
Lyme disease is most prevalent in the northeast and upper Midwest regions of the United States. While early symptoms may be mild (eg, rash, flu-like symptoms, joint pain), late or persistent infection can cause chronic neurologic impairments. Because of this range of symptoms, physicians can have difficulty diagnosing Lyme disease, especially in the absence of erythema chronicum migrans. We rep...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Hospital pediatrics
دوره 4 6 شماره
صفحات -
تاریخ انتشار 2014