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Lyme polyradiculoneuropathy presenting as increasing abdominal girth.

K R Daffner1, J L Saver, M P Biber

  • 1Department of Neurology, Beth Israel Hospital, Harvard Medical School, Boston, MA 02215.

Neurology
|February 1, 1990
PubMed
Summary

Lyme disease can cause unusual symptoms like abdominal distention due to nerve damage. Electrophysiologic studies confirmed muscle denervation, highlighting a rare manifestation of Lyme polyradiculoneuropathy.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Gastroenterology

Background:

  • Lyme disease is a tick-borne illness caused by Borrelia burgdorferi.
  • Neurological manifestations of Lyme disease are diverse, including meningitis and radiculoneuritis.
  • Abdominal distention is not a commonly recognized symptom of Lyme disease.

Observation:

  • A patient presented with progressive abdominal distention as their primary complaint.
  • The patient had a history of documented Lyme disease.
  • Physical examination revealed an enlarged abdominal girth.

Findings:

  • Electrophysiologic studies were performed to investigate the cause of abdominal distention.
  • Results showed denervation in the lower thoracic paraspinal muscles.

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  • Denervation was also observed in the rectus abdominis muscle.

    • Implications:

    • Expanding abdominal girth can be an atypical presentation of Lyme disease.
    • This case suggests Lyme-associated polyradiculoneuropathy may affect abdominal musculature.
    • Recognition of this unusual manifestation is important for diagnosing Lyme disease complications.