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A Case of Early Disseminated Neurological Lyme Disease Followed by Atypical Cutaneous Manifestations
المؤلفون المشاركون
Kantamaneni, Vamsi
Sunder, Vikas
Bilal, Mohammad
Vargo, Scott
المصدر
Case Reports in Infectious Diseases
العدد
المجلد 2017، العدد 2017 (31 ديسمبر/كانون الأول 2017)، ص ص. 1-5، 5ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2017-04-23
دولة النشر
مصر
عدد الصفحات
5
التخصصات الرئيسية
الملخص EN
Lyme disease (LD) is a tick-borne illness caused by Borrelia burgdorferi sensu stricto.
An 80-year-old female from Pennsylvania, USA, presented to an outside hospital with fever, confusion, lower extremity weakness, and stool incontinence.
CT head and MRI spine were unremarkable.
An infectious work-up including lumbar puncture was negative.
She was transferred to our tertiary care hospital.
Patient was noted to have mild unilateral right-sided facial droop and a diffuse macular rash throughout the body.
She denied any outdoor activities, tick bites, or previous rash.
Intravenous ceftriaxone was started for suspected LD.
The patient’s symptoms including facial droop resolved within 24 hours of antibiotic therapy.
Polymerase chain reaction of the blood, IgM ELISA, and IgM Western blot testing for LD came back positive a few days after initiation of therapy.
She was treated for a total of 21 days for neurological LD with complete symptom resolution.
Not all patients have the classic “targetoid” EM rash on initial presentation, rash could develop after neurological manifestations, and prompt initiation of antibiotics without awaiting serology is paramount to making a quick and a full recovery.
There should be a high index of suspicion for early disseminated LD, as presentations can be atypical.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Kantamaneni, Vamsi& Sunder, Vikas& Bilal, Mohammad& Vargo, Scott. 2017. A Case of Early Disseminated Neurological Lyme Disease Followed by Atypical Cutaneous Manifestations. Case Reports in Infectious Diseases،Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1146398
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Kantamaneni, Vamsi…[et al.]. A Case of Early Disseminated Neurological Lyme Disease Followed by Atypical Cutaneous Manifestations. Case Reports in Infectious Diseases No. 2017 (2017), pp.1-5.
https://search.emarefa.net/detail/BIM-1146398
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Kantamaneni, Vamsi& Sunder, Vikas& Bilal, Mohammad& Vargo, Scott. A Case of Early Disseminated Neurological Lyme Disease Followed by Atypical Cutaneous Manifestations. Case Reports in Infectious Diseases. 2017. Vol. 2017, no. 2017, pp.1-5.
https://search.emarefa.net/detail/BIM-1146398
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1146398
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
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