The many manifestations of a single disease: neuroborreliosis

Journal of Community Hospital Internal Medicine Perspectives

Ranadheer Dande¹  Shankar Awasthi¹  Kia Persaud¹  Chahat Puri¹  Sajida Zulfiqar¹  Anum Qureshi¹ 

[1] Greater Baltimore Medical Center;

关键词: lyme;    neuroborreliosis;    bell’s palsy;    hyponatremia;    pseudo-obstruction;   

DOI  :  10.1080/20009666.2020.1831746

来源: DOAJ

【 摘 要 】

Lyme disease is a tick-borne illness that occurs in stages, multiple organs and tissue with highly variable clinical presentation. Most commonly, it presents with seventh cranial nerve palsy, often mimicking stroke and atypical rash (erythema migrans). Atypical presentations include abdominal pain, ileus/pseudo-obstruction and constipation thought to be due to autonomic dysfunction. Other less common presentations include Syndrome of Inappropriate Antidiuretic Hormones (SIADH). Lyme disease should be a differential when a patient presents from Lyme endemic areas with abdominal pain, constipation and SIADH in the setting of other causes of gastrointestinal and renal symptoms ruled out. Here we present a case of multisystem involvement in a single patient with Lyme Disease along with neuroborreliosis (neurological manifestation of Lyme disease).

【 授权许可】

Unknown