Syndrome of Inappropriate Antidiuretic Hormone Secretion - A Rare Initial Presentation of Lyme Neuroborreliosis (P9-10.005)

Singh, Sukhbir; Zahra, Sayyeda; Chu, Irene; Kokash, Atef; Varrato, Jay

doi:10.1212/wnl.0000000000204028

Cited by 2 publications

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“…Our patient experienced the disabling pain for eight weeks and it remained the only neurological disease manifestation. While the literature on thoracic radiculopathy as a manifestation of LD is scarce, a few recent case reports have described this symptom as the first clinical symptom of early disseminated neuroborreliosis with additional neurological symptoms, namely facial palsy, cranial neuropathy and ataxic gait [6][7][8][9][10]. In other case reports, abdominal wall weakness has been mentioned as an additional symptom for early disseminated neuroborreliosis [11][12][13].…”

Section: Discussionmentioning

confidence: 99%

An Unusual Presentation of Lyme disease In a Patient with Severe Abdominal Pain: A Case Report

2024

Curr Trends Intern Med

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Objective: We present thoracic radiculopathy as the sole clinical sign of early disseminated neuroborreliosis. Methods:We report a case of a 40-year-old female with panhypopituitarism and a permanent ventriculoperitoneal drain who experienced severe abdominal pain as a primary and isolated symptom of Lyme disease (LD).Results: To our knowledge, thoracic radiculopathy as an isolated neurological manifestation of LD has been presented before only once. Radiculopathy is a well-known symptom of LD, but usually occurs in conjunction with additional neurological symptoms. The diagnosis was supported by a self-reported abdominal skin lesion consistent with erythema migrans and by additionally performed serological Borrelia tests. Conclusion:Although rare, thoracic radiculopathy may be an isolated symptom of early neuroborreliosis. Alternative diagnoses have to be taken into account. As an additional learning point, doctors should be aware of the potential abrogation of the usual evolution of the antibody response due to adequate treatment of the infection.

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