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莱姆病性神经伯氏疏螺旋体病:一例报告。

Lyme neuroborreliosis: A case report.

作者信息

Sayad Babak, Babazadeh Arefeh, Barary Mohammad, Hosseinzadeh Rezvan, Ebrahimpour Soheil, Afshar Zeinab Mohseni

机构信息

Clinical Research Development Center, Imam Reza Hospital Kermanshah University of Medical Sciences Kermanshah Iran.

Infectious Diseases and Tropical Medicine Research Center Health Research Institute, Babol University of Medical Sciences Babol Iran.

出版信息

Clin Case Rep. 2023 Aug 7;11(8):e7702. doi: 10.1002/ccr3.7702. eCollection 2023 Aug.

Abstract

KEY CLINICAL MESSAGE

Lyme neuroborreliosis is the manifestation of Lyme borreliosis that impacts the nervous system. It gives rise to various neurological and psychiatric conditions, and its diagnosis is challenging. The timely administration of antibiotics is effective.

ABSTRACT

A male patient, aged 55, was admitted to the emergency department due to the sudden onset of tonic-clonic seizures. All standard laboratory examinations yielded unremarkable outcomes, except a favorable Wright and 2-mercaptoethanol test. The examination of cerebrospinal fluid revealed the presence of 380 white blood cells per milliliter. The protein level was also elevated, while the glucose level was within the normal range. The results of the serologic tests indicated the presence of both IgG and IgM antibodies to . Following the administration of ceftriaxone, a significant improvement was observed in the patient's medical status, and he was subsequently discharged. Lyme neuroborreliosis is the manifestation of Lyme borreliosis that impacts the nervous system. It gives rise to various neurological and psychiatric conditions, and its diagnosis is challenging. The timely administration of antibiotics is effective in treating patients.

摘要

关键临床信息

莱姆病神经螺旋体病是莱姆病累及神经系统的表现形式。它会引发各种神经和精神疾病,其诊断具有挑战性。及时使用抗生素有效。

摘要

一名55岁男性患者因突然发作强直阵挛性癫痫被收入急诊科。除Wright试验和2-巯基乙醇试验结果良好外,所有标准实验室检查结果均无异常。脑脊液检查显示每毫升有380个白细胞。蛋白水平也升高,而葡萄糖水平在正常范围内。血清学检测结果表明存在针对……的IgG和IgM抗体。给予头孢曲松治疗后,患者病情显著改善,随后出院。莱姆病神经螺旋体病是莱姆病累及神经系统的表现形式。它会引发各种神经和精神疾病,其诊断具有挑战性。及时使用抗生素对治疗患者有效。

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Neurologic Complications of Lyme Disease.神经莱姆病的并发症。
Continuum (Minneap Minn). 2021 Aug 1;27(4):1040-1050. doi: 10.1212/CON.0000000000001015.
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Diagnosis and management of Lyme neuroborreliosis.莱姆神经Borreliosis 的诊断和治疗。
Expert Rev Anti Infect Ther. 2018 Jan;16(1):5-11. doi: 10.1080/14787210.2018.1417836. Epub 2017 Dec 26.
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Manifestations of Lyme carditis.莱姆病性心脏病的表现。
Int J Cardiol. 2017 Apr 1;232:24-32. doi: 10.1016/j.ijcard.2016.12.169. Epub 2016 Dec 27.
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Ecology and Epidemiology of Lyme Borreliosis.莱姆病的生态学与流行病学
Clin Lab Med. 2015 Dec;35(4):723-43. doi: 10.1016/j.cll.2015.08.003. Epub 2015 Sep 26.
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Status epilepticus in the setting of acute encephalitis.急性脑炎背景下的癫痫持续状态。
Epilepsy Curr. 2014 Jan;14(1 Suppl):43-9. doi: 10.5698/1535-7511-14.s2.43.

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