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[Comatose state--think different]

A Holbro1, A Conen

  • 1Medizinische Poliklinik, Universitätsspital Basel, Switzerland. aholbro@uhbs.ch

Praxis
|May 9, 2012
PubMed

Insights

A severe neurological condition, neuroborreliosis, can be reversed with prompt treatment. This case highlights the importance of accurate diagnosis for potentially reversible neurological impairments.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Medical Case Reports

Background:

  • Meningoencephalitis presents with inflammation of the brain and meninges.
  • Early diagnosis and treatment are crucial for managing neurological infections.

Observation:

  • A 76-year-old woman presented with meningoencephalitis and mononuclear pleocytosis.
  • Her condition worsened to a comatose state despite empirical antimicrobial treatment.

Findings:

  • Neuroborreliosis was confirmed serologically and via molecular biology.
  • Intravenous ceftriaxone therapy led to a slow but complete recovery.

Implications:

  • This case underscores the need for careful decision-making in treating potentially reversible neurological diseases.
  • Neuroborreliosis is identified as a treatable cause of severe neurological impairment.

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