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[A case of Lyme neuroborreliosis without erythema migrans].
Rinsho Shinkeigaku. 2018 Feb 28; 58(2):124-126.RS

Abstract

A 56-year-old man was sustained ticks at the left axilla and flank. He did not have a rash. About 3 months after the tick bites, he developed back pain, right leg weakness, right abducens nerve palsy, and left facial palsy. Western blot analysis for serum IgM and IgG antibodies against Borrelia were positive. We diagnosed Lyme borreliosis. The patient was treated with antibiotics and steroids, and the symptoms improved. Our findings demonstrate that, even if erythema migrans is not obvious, neuroborreliosis should be considered when neurological signs, such as multiple cranial nerve palsies, are present.

Authors+Show Affiliations

Department of Neurology, Kushiro Rosai Hospital.Department of Neurology, Kushiro Rosai Hospital.Department of Neurology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University.Department of Neurology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University.

Pub Type(s)

Case Reports
Journal Article

Language

jpn

PubMed ID

29386499

Citation

Eguchi, Katsuki, et al. "[A Case of Lyme Neuroborreliosis Without Erythema Migrans]." Rinsho Shinkeigaku = Clinical Neurology, vol. 58, no. 2, 2018, pp. 124-126.
Eguchi K, Tsuzaka K, Yabe I, et al. [A case of Lyme neuroborreliosis without erythema migrans]. Rinsho Shinkeigaku. 2018;58(2):124-126.
Eguchi, K., Tsuzaka, K., Yabe, I., & Sasaki, H. (2018). [A case of Lyme neuroborreliosis without erythema migrans]. Rinsho Shinkeigaku = Clinical Neurology, 58(2), 124-126. https://doi.org/10.5692/clinicalneurol.cn-001121
Eguchi K, et al. [A Case of Lyme Neuroborreliosis Without Erythema Migrans]. Rinsho Shinkeigaku. 2018 Feb 28;58(2):124-126. PubMed PMID: 29386499.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [A case of Lyme neuroborreliosis without erythema migrans]. AU - Eguchi,Katsuki, AU - Tsuzaka,Kazuhumi, AU - Yabe,Ichiro, AU - Sasaki,Hidenao, Y1 - 2018/01/31/ PY - 2018/2/2/pubmed PY - 2018/3/20/medline PY - 2018/2/2/entrez KW - cranial nerve palsy KW - erythema migrans KW - neuroborreliosis KW - radiculoneuritis SP - 124 EP - 126 JF - Rinsho shinkeigaku = Clinical neurology JO - Rinsho Shinkeigaku VL - 58 IS - 2 N2 - A 56-year-old man was sustained ticks at the left axilla and flank. He did not have a rash. About 3 months after the tick bites, he developed back pain, right leg weakness, right abducens nerve palsy, and left facial palsy. Western blot analysis for serum IgM and IgG antibodies against Borrelia were positive. We diagnosed Lyme borreliosis. The patient was treated with antibiotics and steroids, and the symptoms improved. Our findings demonstrate that, even if erythema migrans is not obvious, neuroborreliosis should be considered when neurological signs, such as multiple cranial nerve palsies, are present. SN - 1882-0654 UR - https://www.unboundmedicine.com/medline/citation/29386499/[A_case_of_Lyme_neuroborreliosis_without_erythema_migrans]_ L2 - https://dx.doi.org/10.5692/clinicalneurol.cn-001121 DB - PRIME DP - Unbound Medicine ER -