A Case of Undetected Neuroborreliosis in a 75-Year-Old Chinese Male
Lyme disease is a multisystem infection caused by the spirochete Borrelia burgdorferi sensu stricto that manifests with characteristic symptoms in patients. Patients are identified based on their clinical symptoms and then diagnosed through enzyme-linked immunosorbent assay (ELISA), Western blot, an...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Infectious Diseases |
| Online Access: | http://dx.doi.org/10.1155/2018/6764894 |
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| author | Jenny Lamichhane Rohail Haider Michael Bekkerman Sean Tilford Shireen Hijaz Bikash Bhattarai Rajanish Bobde |
| author_facet | Jenny Lamichhane Rohail Haider Michael Bekkerman Sean Tilford Shireen Hijaz Bikash Bhattarai Rajanish Bobde |
| author_sort | Jenny Lamichhane |
| collection | DOAJ |
| description | Lyme disease is a multisystem infection caused by the spirochete Borrelia burgdorferi sensu stricto that manifests with characteristic symptoms in patients. Patients are identified based on their clinical symptoms and then diagnosed through enzyme-linked immunosorbent assay (ELISA), Western blot, and blood culture techniques. Here, we present the case of a 75-year-old, Northeast suburban resident complaining of unstable gait, high fevers, malaise, myalgia, and confusion. This patient’s symptoms were nonspecific, and his lab titers and blood cultures were repeatedly negative during his stay. It was only late in the course of his treatment that blood titers and cerebrospinal fluid analysis were positive for Lyme IgG and IgM. He was treated with intravenous doxycycline and prescribed oral doxycycline on discharge, resulting in a full recovery. We express the need for physicians to consider Lyme disease in endemic patients presenting with nonspecific systemic signs. |
| format | Article |
| id | doaj-art-578af1f5c844466889549c0a1645e683 |
| institution | Kabale University |
| issn | 2090-6625 2090-6633 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Infectious Diseases |
| spelling | doaj-art-578af1f5c844466889549c0a1645e6832025-02-03T06:01:07ZengWileyCase Reports in Infectious Diseases2090-66252090-66332018-01-01201810.1155/2018/67648946764894A Case of Undetected Neuroborreliosis in a 75-Year-Old Chinese MaleJenny Lamichhane0Rohail Haider1Michael Bekkerman2Sean Tilford3Shireen Hijaz4Bikash Bhattarai5Rajanish Bobde6Department of Medicine, St. John’s Riverside Hospital, 967 N. Broadway Yonkers, NY 10701, USADepartment of Medicine, St. John’s Riverside Hospital, 967 N. Broadway Yonkers, NY 10701, USADepartment of Medicine, St. John’s Riverside Hospital, 967 N. Broadway Yonkers, NY 10701, USADepartment of Medicine, St. John’s Riverside Hospital, 967 N. Broadway Yonkers, NY 10701, USADepartment of Medicine, St. John’s Riverside Hospital, 967 N. Broadway Yonkers, NY 10701, USAInterfaith Medical Center, 1545 Atlantic Avenue, Brooklyn, NY 11213, USADepartment of Medicine, St. John’s Riverside Hospital, 967 N. Broadway Yonkers, NY 10701, USALyme disease is a multisystem infection caused by the spirochete Borrelia burgdorferi sensu stricto that manifests with characteristic symptoms in patients. Patients are identified based on their clinical symptoms and then diagnosed through enzyme-linked immunosorbent assay (ELISA), Western blot, and blood culture techniques. Here, we present the case of a 75-year-old, Northeast suburban resident complaining of unstable gait, high fevers, malaise, myalgia, and confusion. This patient’s symptoms were nonspecific, and his lab titers and blood cultures were repeatedly negative during his stay. It was only late in the course of his treatment that blood titers and cerebrospinal fluid analysis were positive for Lyme IgG and IgM. He was treated with intravenous doxycycline and prescribed oral doxycycline on discharge, resulting in a full recovery. We express the need for physicians to consider Lyme disease in endemic patients presenting with nonspecific systemic signs.http://dx.doi.org/10.1155/2018/6764894 |
| spellingShingle | Jenny Lamichhane Rohail Haider Michael Bekkerman Sean Tilford Shireen Hijaz Bikash Bhattarai Rajanish Bobde A Case of Undetected Neuroborreliosis in a 75-Year-Old Chinese Male Case Reports in Infectious Diseases |
| title | A Case of Undetected Neuroborreliosis in a 75-Year-Old Chinese Male |
| title_full | A Case of Undetected Neuroborreliosis in a 75-Year-Old Chinese Male |
| title_fullStr | A Case of Undetected Neuroborreliosis in a 75-Year-Old Chinese Male |
| title_full_unstemmed | A Case of Undetected Neuroborreliosis in a 75-Year-Old Chinese Male |
| title_short | A Case of Undetected Neuroborreliosis in a 75-Year-Old Chinese Male |
| title_sort | case of undetected neuroborreliosis in a 75 year old chinese male |
| url | http://dx.doi.org/10.1155/2018/6764894 |
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