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[Acute abdominal pain caused by neuroborreliosis].
Ned Tijdschr Geneeskd. 2018 Jul 05; 162NT

Abstract

BACKGROUND

Lyme disease is a multisystem disease which can present itself in several ways. When the nervous system is involved, it is called Lyme neuroborreliosis. Both central and peripheral nervous systems can be affected.

CASE DESCRIPTION

A 39-year-old man visited the emergency department multiple times with severe abdominal-pain attacks with motoric unrest. Extensive diagnostic work-up was done, which was initially inconclusive. Lyme neuroborreliosis was suspected when he developed a facial-nerve palsy during admission; the abdominal pain was thought to be caused by thoracic radiculoneuropathy. Serologic testing for antibodies against Borrelia burgdorferi was positive, confirming the diagnosis. The patient was treated with intravenous ceftriaxone.

CONCLUSION

This case shows abdominal pain being caused by radiculoneuropathy at thoracic level, an uncommon presentation of Lyme neuroborreliosis. Often, this diagnosis is only made when neurological paralysis occurs. Information regarding skin lesions or a recent tick bite can lead to earlier recognition of the diagnosis.

Authors+Show Affiliations

Wilhelmina Ziekenhuis, afd. Heelkunde, Assen. Contact: A.S.M. Dobbe (a.dobbe@dz.nl).Wilhelmina Ziekenhuis, afd. Heelkunde, Assen.Wilhelmina Ziekenhuis, afd. Heelkunde, Assen.Wilhelmina Ziekenhuis, afd. Neurologie, Assen.

Pub Type(s)

Case Reports
Journal Article

Language

dut

PubMed ID

30040309

Citation

Dobbe, Anna S M., et al. "[Acute Abdominal Pain Caused By Neuroborreliosis]." Nederlands Tijdschrift Voor Geneeskunde, vol. 162, 2018.
Dobbe ASM, Zoethout AC, Bleeker WA, et al. [Acute abdominal pain caused by neuroborreliosis]. Ned Tijdschr Geneeskd. 2018;162.
Dobbe, A. S. M., Zoethout, A. C., Bleeker, W. A., & Oenema, D. G. (2018). [Acute abdominal pain caused by neuroborreliosis]. Nederlands Tijdschrift Voor Geneeskunde, 162.
Dobbe ASM, et al. [Acute Abdominal Pain Caused By Neuroborreliosis]. Ned Tijdschr Geneeskd. 2018 Jul 5;162 PubMed PMID: 30040309.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Acute abdominal pain caused by neuroborreliosis]. AU - Dobbe,Anna S M, AU - Zoethout,Aleksandra C, AU - Bleeker,Wim A, AU - Oenema,Dettie G, Y1 - 2018/07/05/ PY - 2018/7/25/entrez PY - 2018/7/25/pubmed PY - 2018/12/21/medline JF - Nederlands tijdschrift voor geneeskunde JO - Ned Tijdschr Geneeskd VL - 162 N2 - BACKGROUND: Lyme disease is a multisystem disease which can present itself in several ways. When the nervous system is involved, it is called Lyme neuroborreliosis. Both central and peripheral nervous systems can be affected. CASE DESCRIPTION: A 39-year-old man visited the emergency department multiple times with severe abdominal-pain attacks with motoric unrest. Extensive diagnostic work-up was done, which was initially inconclusive. Lyme neuroborreliosis was suspected when he developed a facial-nerve palsy during admission; the abdominal pain was thought to be caused by thoracic radiculoneuropathy. Serologic testing for antibodies against Borrelia burgdorferi was positive, confirming the diagnosis. The patient was treated with intravenous ceftriaxone. CONCLUSION: This case shows abdominal pain being caused by radiculoneuropathy at thoracic level, an uncommon presentation of Lyme neuroborreliosis. Often, this diagnosis is only made when neurological paralysis occurs. Information regarding skin lesions or a recent tick bite can lead to earlier recognition of the diagnosis. SN - 1876-8784 UR - https://www.unboundmedicine.com/medline/citation/30040309/[Acute_abdominal_pain_caused_by_neuroborreliosis]_ DB - PRIME DP - Unbound Medicine ER -