van den Bergen H A, Smith J P, van der Zwan A
Afd. Psychiatrie, Sophia Ziekenhuis, Zwolle.
Ned Tijdschr Geneeskd. 1993 Oct 9;137(41):2098-100.
A woman aged 64 was admitted to the psychiatric department because of a psychotic decompensation with visual hallucinations, disorientation in time and space and associative thinking. On psychotropic drugs the condition failed to improve; subsequently neurological symptoms developed. EEG abnormalities prompted a lumbar puncture. In the CSF a strong plasma cell reaction with atypical cells was observed. The enzyme immunoassay for Borrelia burgdorferi was positive and after treatment with penicillin the psychiatric and neurological signs and symptoms disappeared. From the history which could then be taken it appeared that the patient had been bitten by ticks. Her husband aged 66 years passed through a similar episode of disease.
一名64岁女性因精神错乱伴视幻觉、时空定向障碍和联想思维被收治入精神科。服用精神药物后病情未见改善；随后出现神经症状。脑电图异常促使进行腰椎穿刺。脑脊液中观察到强烈的浆细胞反应及非典型细胞。伯氏疏螺旋体酶免疫测定呈阳性，青霉素治疗后精神和神经体征及症状消失。从当时了解到的病史来看，患者曾被蜱虫叮咬。她66岁的丈夫也经历了类似的疾病发作。
