Lyme Neuroborreliosis Presenting Chiefly with Neuropsychiatric Symptoms Displaying Difficulties in Diagnosis Report of Two Cases
   
Yazarlar (5)
Hayrettin Akdeniz Abant İzzet Baysal Üniversitesi, Türkiye
Lütfullah Beşiroğlu İzmir Katip Çelebi Üniversitesi, Türkiye
Hasan Karsen
Harran Üniversitesi, Türkiye
Prof. Dr. Mustafa Kasım KARAHOCAGİL Yüzüncü Yıl Üniversitesi, Türkiye
Mehmet Yücel Ağargün İstanbul Medipol Üniversitesi, Türkiye
Makale Türü Diğer (Teknik, not, yorum, vaka takdimi, editöre mektup, özet, kitap krıtiği, araştırma notu, bilirkişi raporu ve benzeri) (SCOPUS dergilerinde yayınlanan teknik not, editöre mektup, tartışma, vaka takdimi ve özet türünden makale)
Dergi Adı JOURNAL OF PEDIATRIC INFECTIOUS DISEASES
Dergi ISSN 1305-7707 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler Academic Source Complete, CAB Abstracts, Embase, Global Health, Google Scholar, Scopus
Makale Dili İngilizce Basım Tarihi 01-2006
Cilt / Sayı / Sayfa 1 / 3 / 177–183 DOI
Özet
Lyme disease is an infectious disease caused by the tick-borne spirochete Borrelia burgdorferi. Its clinical hallmark, erythema migrans, is present only in about two thirds of infected patients. After erythema migrans, Bannwarth's syndrome (meningitis, polyradiculoneuritis, cranial nerve palsies) represents the second most common clinical manifestation of acute Borrelia infection, especially in Europe. We describe here two cases of Lyme neuroborreliosis presenting chiefly with neuropsychiatric symptoms displaying difficulties in diagnosis because the patients had no history of tick bite or erythema migrans. In one of the cases, psychiatric complaints were predominant and she had a preliminary diagnosis of catatonic and psychotic disorder due to a general medical condition. The other patient had a clinical picture of meningitis with a protracted course. They were successfully treated with oral doxycycline. Apropos of these two cases, the relevant literature has been reviewed.
Anahtar Kelimeler
Lyme disease | neuroborreliosis | neuropsychiatric symptoms | meningitis | treatment
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