Mata-Moret Lucia, Garcia-Villanueva Carolina, Monferrer-Adsuara Clara, Castro Navarro Veronica, Cervera-Taulet Enrique
Consorci Hospital General Universitari de Valencia, Valencia, Spain.
Eur J Ophthalmol. 2020 Sep;30(5):NP46-NP52. doi: 10.1177/1120672119855210. Epub 2019 Jun 5.
Lyme disease is a rare condition caused by the bacterium . Despite typical symptoms including fever, headache, fatigue, and a characteristic skin rash, sometimes we cannot find those due to the lack of physician consultation in those early stages. If this disease is left untreated, infection could spread to the nervous system causing neuroborreliosis, an atypical and complicated manifestation of this disease. We present the case of an atypical papillitis, probably caused by this bacterium. We suspected this because of the results on the indirect test bloods and the improvement of the symptoms after treatment. This entity should be considered as a possible diagnosis of atypical optical neuropathies, particularly if it occurs in an endemic area.
莱姆病是一种由细菌引起的罕见疾病。尽管其典型症状包括发热、头痛、疲劳和特征性皮疹，但有时由于在疾病早期未咨询医生，我们无法发现这些症状。如果这种疾病得不到治疗，感染可能会扩散到神经系统，导致神经莱姆病，这是该疾病的一种非典型且复杂的表现形式。我们报告了一例可能由这种细菌引起的非典型视乳头炎病例。由于间接血液检测结果以及治疗后症状有所改善，我们怀疑是这种情况。对于非典型视神经病变，尤其是发生在流行地区时，应考虑将这种疾病作为一种可能的诊断。
