Guillain-Barre Syndrome, Neuroborreliosis, or Both.
borrelia burgdorferi
campylobacter jejuni
facial nerve palsy
guillain-barré syndrome (gbs)
lyme disease
neuroborreliosis
tick
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
25 Apr 2020
25 Apr 2020
Historique:
entrez:
30
5
2020
pubmed:
30
5
2020
medline:
30
5
2020
Statut:
epublish
Résumé
Guillain-Barre syndrome (GBS) is an acute paralytic neuropathy. Limited reports of GBS caused by tick-borne pathogens exist. Lyme disease is a tick-borne infectious disease that is commonly caused by Borrelia burgdorferi. The nervous system may be involved and is called neuroborreliosis. In this case, we report a 30-year-old female who presented to the emergency department with one week of diffuse, increasing weakness in the upper/lower extremities and face after a recent gastrointestinal illness and travel to the Northeastern United States. Areflexia was noted in bilateral lower extremities. Lumbar puncture results together with clinical presentation were consistent with a diagnosis of GBS. Lab results later revealed a possible Lyme infection in cerebrospinal fluid, which along with recent travel to endemic area gave high suspicion for Lyme disease. The patient was treated for both diseases with significant improvement. Taking a good history is an essential first step in diagnosis, as travel history was key in testing for Lyme.
Identifiants
pubmed: 32467798
doi: 10.7759/cureus.7823
pmc: PMC7249767
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e7823Informations de copyright
Copyright © 2020, Owens et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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