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[Persistent leg pain].

N Satz1, J Dvorak, C Reich

  • 1Medizinische Abteilung Kreisspital Männedorf, Zürich.

Schweizerische Rundschau Fur Medizin Praxis = Revue Suisse De Medecine Praxis
|July 3, 1990
PubMed
Summary
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Lyme-Borreliosis, a nervous system infection, can cause severe back pain and leg weakness. Prompt antibiotic treatment with Ceftriaxone effectively resolved symptoms and cerebrospinal fluid abnormalities.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Medical Diagnostics

Background:

  • Lyme-Borreliosis is a tick-borne illness that can affect the nervous system.
  • Neurological manifestations of Lyme-Borreliosis can be diverse and sometimes mimic other conditions.

Observation:

  • A 72-year-old patient presented with acute lumbar pain radiating to the leg and thigh muscle weakness.
  • Initial radiological investigations for spinal degeneration were inconclusive.
  • Serological tests revealed antibodies against Borrelia burgdorferi, and electromyography (EMG) indicated radiculitis.

Findings:

  • Cerebrospinal fluid (CSF) analysis confirmed neuroborreliosis (Lyme-Borreliosis of the nervous system).
  • Intravenous Ceftriaxone treatment (2-4g daily for 3 weeks) led to complete symptom resolution.

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  • Pathological CSF findings normalized following antibiotic therapy.

    • Implications:

    • This case highlights the importance of considering Lyme-Borreliosis in patients with unexplained neurological symptoms, even with initial negative radiological findings.
    • CSF analysis is crucial for diagnosing neuroborreliosis.
    • Early and appropriate antibiotic treatment is effective in managing neurological Lyme-Borreliosis and preventing long-term sequelae.