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Lyme disease presenting as urinary retention.

M B Chancellor1, V M Dato, J Y Yang

  • 1Department of Urology, College of Physicians and Surgeons, Columbia University, New York, New York.

The Journal of Urology
|June 1, 1990
PubMed
Summary

Lyme disease can initially present with urinary retention and lower extremity paralysis. Prompt treatment with intravenous ceftriaxone resolved these symptoms, highlighting a rare urological manifestation of this tick-borne illness.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Urology

Background:

  • Lyme disease, a tick-borne illness caused by Borrelia burgdorferi, typically manifests with erythema migrans rash, arthritis, or neurological symptoms.
  • Urological complications are not commonly recognized as initial presentations of Lyme disease.

Observation:

  • A patient presented with acute urinary retention, a rare initial symptom of Lyme disease.
  • The patient subsequently developed lower extremity paralysis, indicating neurological involvement.

Findings:

  • Intravenous ceftriaxone administration led to the complete resolution of both urinary retention and lower extremity paralysis.
  • This case represents the first documented instance of urological dysfunction as the primary clinical manifestation of Lyme disease.

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Implications:

  • Highlights the importance of considering Lyme disease in the differential diagnosis of unexplained urinary retention and neurological deficits.
  • Emphasizes the potential for diverse and atypical presentations of Lyme disease, including urological complications.
  • Underscores the efficacy of timely antibiotic treatment, such as ceftriaxone, in managing neuroborreliosis and its associated symptoms.