Abdominal Radicular Pain From Neuroborreliosis: A Case of Bannwarth Syndrome in the Midwestern United States
A man in his mid-50s from Illinois presented with a circular rash without central clearing on his thigh. Two weeks later, he developed radicular lower abdominal and back pain. While initial imaging of the abdomen and lumbar spine was unrevealing, a physical examination later uncovered the subtle fin...
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| Format: | Article |
| Language: | English |
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American College of Physicians
2025-02-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0798 |
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| author | Abigail E. Schulz Justin Kearney Nitin Das Kunnathu Puthanveedu Manasa Kandula |
| author_facet | Abigail E. Schulz Justin Kearney Nitin Das Kunnathu Puthanveedu Manasa Kandula |
| author_sort | Abigail E. Schulz |
| collection | DOAJ |
| description | A man in his mid-50s from Illinois presented with a circular rash without central clearing on his thigh. Two weeks later, he developed radicular lower abdominal and back pain. While initial imaging of the abdomen and lumbar spine was unrevealing, a physical examination later uncovered the subtle finding of dermatomal hypoesthesia. After a positive 2-tier test for Lyme disease, a diagnosis of Bannwarth syndrome was confirmed by cerebrospinal fluid, revealing lymphocytic pleocytosis and an elevated Lyme antibody index. Despite its historical association with the European Borrelia species, in the United States, Bannwarth syndrome should be considered in patients with radicular pain. |
| format | Article |
| id | doaj-art-3ce8e052b3764eca9577fbf58cf3d6de |
| institution | DOAJ |
| issn | 2767-7664 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | American College of Physicians |
| record_format | Article |
| series | Annals of Internal Medicine: Clinical Cases |
| spelling | doaj-art-3ce8e052b3764eca9577fbf58cf3d6de2025-08-20T03:18:45ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-02-014210.7326/aimcc.2024.0798Abdominal Radicular Pain From Neuroborreliosis: A Case of Bannwarth Syndrome in the Midwestern United StatesAbigail E. Schulz0Justin Kearney1Nitin Das Kunnathu Puthanveedu2Manasa Kandula31University of Illinois College of Medicine at Peoria, Peoria, Illinois1University of Illinois College of Medicine at Peoria, Peoria, Illinois1University of Illinois College of Medicine at Peoria, Peoria, Illinois1University of Illinois College of Medicine at Peoria, Peoria, IllinoisA man in his mid-50s from Illinois presented with a circular rash without central clearing on his thigh. Two weeks later, he developed radicular lower abdominal and back pain. While initial imaging of the abdomen and lumbar spine was unrevealing, a physical examination later uncovered the subtle finding of dermatomal hypoesthesia. After a positive 2-tier test for Lyme disease, a diagnosis of Bannwarth syndrome was confirmed by cerebrospinal fluid, revealing lymphocytic pleocytosis and an elevated Lyme antibody index. Despite its historical association with the European Borrelia species, in the United States, Bannwarth syndrome should be considered in patients with radicular pain.https://www.acpjournals.org/doi/10.7326/aimcc.2024.0798 |
| spellingShingle | Abigail E. Schulz Justin Kearney Nitin Das Kunnathu Puthanveedu Manasa Kandula Abdominal Radicular Pain From Neuroborreliosis: A Case of Bannwarth Syndrome in the Midwestern United States Annals of Internal Medicine: Clinical Cases |
| title | Abdominal Radicular Pain From Neuroborreliosis: A Case of Bannwarth Syndrome in the Midwestern United States |
| title_full | Abdominal Radicular Pain From Neuroborreliosis: A Case of Bannwarth Syndrome in the Midwestern United States |
| title_fullStr | Abdominal Radicular Pain From Neuroborreliosis: A Case of Bannwarth Syndrome in the Midwestern United States |
| title_full_unstemmed | Abdominal Radicular Pain From Neuroborreliosis: A Case of Bannwarth Syndrome in the Midwestern United States |
| title_short | Abdominal Radicular Pain From Neuroborreliosis: A Case of Bannwarth Syndrome in the Midwestern United States |
| title_sort | abdominal radicular pain from neuroborreliosis a case of bannwarth syndrome in the midwestern united states |
| url | https://www.acpjournals.org/doi/10.7326/aimcc.2024.0798 |
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