Department of Diabetes and Metabolism, The Royal London Hospital, Whitechapel, London.
Clin Med (Lond). 2011 Jun;11(3):290-1. doi: 10.7861/clinmedicine.11-3-290.
This lesson describes an unusual case of a man who was recently diagnosed with type 1 diabetes and who presented with severe orthostatic hypotension. As his diabetes was recent in onset, well controlled, and he had no other signs of microvascular disease, other causes of orthostatic hypotension were sought. His serum and cerebrospinal fluid were strongly positive for Borrelia burgdorferi IgG, suggesting a diagnosis of Lyme neuroborreliosis. Autonomic instability in Lyme, while rare, has been previously reported.
本课程描述了一例不常见的病例，一名近期被诊断为 1 型糖尿病的男性患者，伴有严重的体位性低血压。由于他的糖尿病近期发病且控制良好，且没有其他微血管疾病的迹象，因此寻找其他引起体位性低血压的原因。他的血清和脑脊液对伯氏疏螺旋体 IgG 呈强阳性，提示莱姆神经Borreliosis 感染的诊断。莱姆病自主神经不稳定虽然罕见，但以前已有报道。
