Sayad Babak, Babazadeh Arefeh, Barary Mohammad, Hosseinzadeh Rezvan, Ebrahimpour Soheil, Afshar Zeinab Mohseni
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.
Clin Case Rep. 2023 Aug 7;11(8):e7702. doi: 10.1002/ccr3.7702. eCollection 2023 Aug.
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.
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.
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。
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。
