New-Onset Panic, Depression with Suicidal Thoughts, and Somatic Symptoms in a Patient with a History of Lyme Disease
Joint Authors
Garakani, Amir
Mitton, Andrew G.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-01
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Lyme Disease, or Lyme Borreliosis, caused by Borrelia burgdorferi and spread by ticks, is mainly known to cause arthritis and neurological disorders but can also cause psychiatric symptoms such as depression and anxiety.
We present a case of a 37-year-old man with no known psychiatric history who developed panic attacks, severe depressive symptoms and suicidal ideation, and neuromuscular complaints including back spasms, joint pain, myalgias, and neuropathic pain.
These symptoms began 2 years after being successfully treated for a positive Lyme test after receiving a tick bite.
During inpatient psychiatric hospitalization his psychiatric and physical symptoms did not improve with antidepressant and anxiolytic treatments.
The patient’s panic attacks resolved after he was discharged and then, months later, treated with long-term antibiotics for suspected “chronic Lyme Disease” (CLD) despite having negative Lyme titers.
He however continued to have subsyndromal depressive symptoms and chronic physical symptoms such as fatigue, myalgias, and neuropathy.
We discuss the controversy surrounding the diagnosis of CLD and concerns and considerations in the treatment of suspected CLD patients with comorbid psychiatric diagnoses.
American Psychological Association (APA)
Garakani, Amir& Mitton, Andrew G.. 2015. New-Onset Panic, Depression with Suicidal Thoughts, and Somatic Symptoms in a Patient with a History of Lyme Disease. Case Reports in Psychiatry،Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059836
Modern Language Association (MLA)
Garakani, Amir& Mitton, Andrew G.. New-Onset Panic, Depression with Suicidal Thoughts, and Somatic Symptoms in a Patient with a History of Lyme Disease. Case Reports in Psychiatry No. 2015 (2015), pp.1-4.
https://search.emarefa.net/detail/BIM-1059836
American Medical Association (AMA)
Garakani, Amir& Mitton, Andrew G.. New-Onset Panic, Depression with Suicidal Thoughts, and Somatic Symptoms in a Patient with a History of Lyme Disease. Case Reports in Psychiatry. 2015. Vol. 2015, no. 2015, pp.1-4.
https://search.emarefa.net/detail/BIM-1059836
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1059836