Lyme disease presenting as subacute transverse myelitis.

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Lyme disease presenting as subacute transverse myelitis.

 

Acta Neurol Belg. 2009 Dec;109(4):326-9.

 

Koc F, Bozdemir H, Pekoz T, Aksu HS, Ozcan S, Kurdak H.

 

Department of Neurology, Cukurova University School of Medicine, Adana,

Turkey.

koc.filiz

 

Lyme disease (borreliosis) is a systemic illness resulting from infection

with the spirochete Borrelia burgdorferi. It is transmitted to humans by

the

bites of infected ticks belonging to several species of the genus Ixodes.

After the bacteria enter the body via the dermis, most patients develop the

early, localised form of Lyme disease, which is characterised by erythema

migrans and influenza-like symptoms. This disease may also affect the

heart,

nervous system and joints. The neurological findings of this disease may

include peripheral and central nervous system signs.

A 21-year-old woman attended a family medicine outpatient clinic

complaining

of unexplained pain and muscle power loss in her lower extremities. The

problem had started in her right leg 3 months earlier and worsened in the

last week. She had a neurology consultation and was hospitalised. Her

neurological examination revealed bilateral facial paralysis and sensory

impairment. Immunoglobulin M antibody to B. burgdorferi was positive on

Western blotting in both serum and cerebrospinal fluid. The patient was

diagnosed with subacute neuroborreliosis and treated.

 

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PMID: 20120216 [PubMed - in process]