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Atypical papillitis: An isolated manifestation of Lyme disease

Lucia Mata-Moret1, Carolina Garcia-Villanueva1, Clara Monferrer-Adsuara1

  • 1Consorci Hospital General Universitari de Valencia, Valencia, Spain.

European Journal of Ophthalmology
|June 7, 2019
PubMed

Insights

Lyme disease, caused by Borrelia burgdorferi, can lead to neuroborreliosis. This case highlights atypical papillitis as a potential, treatable neurological manifestation, especially in endemic regions.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Ophthalmology

Background:

  • Lyme disease is caused by Borrelia burgdorferi.
  • Early symptoms like fever and rash are often missed.
  • Untreated Lyme disease can progress to neuroborreliosis, affecting the nervous system.

Observation:

  • A case of atypical papillitis, an inflammation of the optic nerve head, is presented.
  • The patient's symptoms improved following treatment, suggesting a link to Borrelia burgdorferi infection.
  • Indirect blood tests provided supportive evidence for Lyme disease.

Findings:

  • Atypical papillitis can be an unusual presentation of Lyme disease.
  • Prompt diagnosis and treatment are crucial to prevent complications like neuroborreliosis.
  • The case underscores the importance of considering Lyme disease in unexplained optical neuropathies.

Implications:

  • This case expands the spectrum of neurological manifestations of Lyme disease.
  • Clinicians should consider Lyme disease in the differential diagnosis of atypical optical neuropathies, particularly in endemic areas.
  • Early recognition and management of Lyme disease can prevent severe neurological sequelae.
Keywords:
Lyme diseasePapillitisatypicalneuroborreliosisoptical neuropathy

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