A Peculiar Case of Neuroborreliosis

Um Caso Peculiar de Neuroborreliose

Autores

  • Sofia Santos Pereira Serviço Medicina Interna - Centro Hospitalar Tondela-Viseu https://orcid.org/0000-0002-8235-0930
  • Inês Rento Serviço de Medicina Interna, Unidade Local de Saúde Viseu Dão- Lafões, Viseu, Portugal
  • Marta Costa Serviço de Medicina Interna, Unidade Local de Saúde Viseu Dão- Lafões, Viseu, Portugal
  • Ana Filipa Viegas Serviço de Medicina Interna, Unidade Local de Saúde Viseu Dão- Lafões, Viseu, Portugal
  • Hélia Mateus Serviço de Medicina Interna, Unidade Local de Saúde Viseu Dão- Lafões, Viseu, Portugal

DOI:

https://doi.org/10.60591/crspmi.236

Palavras-chave:

Lyme Neuroborreliosis/complications, Lyme Neuroborreliosis/diagnosis

Resumo

Lyme disease is an endemic zoonosis in temperate regions
of the northern hemisphere, such as the European
continent. It is a multisystemic disease with cutaneous, articular, cardiac, and neurological manifestations that vary according to its stage. The nervous system’s involvement is
called neuroborreliosis and can be classified as an early or
late disease, according to its progression.

A classic triad of lymphocytic meningitis, cranial neuropathy, and painful radiculoneuritis characterizes early neuroborreliosis. We present a case of neuroborreliosis in a man with chronic alcohol use disorder who was diagnosed with metabolic encephalopathy. We discuss the importance of broadening the differential diagnosis and the diagnostic criteria and managing an extremely heterogeneous disease
such as Lyme disease, particularly in its neurological involvement.

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Referências

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Extensive T2/FLAIR hypersignal in the posterior aspect of the inner capsule, thalamus, corona radiata at brain MRI.

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Publicado

09-12-2024

Como Citar

Santos Pereira, S., Rento, I., Costa, M., Viegas, A. F., & Mateus, H. (2024). A Peculiar Case of Neuroborreliosis: Um Caso Peculiar de Neuroborreliose. SPMI Case Reports, 2(4), 144–147. https://doi.org/10.60591/crspmi.236

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