A Case of Early Disseminated Neurological Lyme Disease Followed by Atypical Cutaneous Manifestations
Joint Authors
Kantamaneni, Vamsi
Sunder, Vikas
Bilal, Mohammad
Vargo, Scott
Source
Case Reports in Infectious Diseases
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-04-23
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146398