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Borrelia meningoradiculitis with severe pains.

T Vikerfors1, N Rudbäck

  • 1Department of Infectious Diseases, Orebro Medical Centre Hospital, Sweden.

Scandinavian Journal of Infectious Diseases
|January 1, 1987
PubMed
Summary

A challenging case of severe right upper quadrant pain was diagnosed as borrelia meningoradiculitis. Treatment with benzylpenicillin and epidural morphine provided significant pain relief.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Immunology

Background:

  • Severe pain in the right costal arch region presented a diagnostic challenge.
  • The patient experienced debilitating pain for four weeks, necessitating a thorough investigation.

Observation:

  • A 54-year-old woman presented with intense pain localized to the right arcus costalis.
  • The condition posed significant therapeutic and diagnostic difficulties over a four-week period.

Findings:

  • Borrelia meningoradiculitis was diagnosed through the detection of specific antibodies in cerebrospinal fluid.
  • Intravenous benzylpenicillin combined with epidural morphine hydrochloride administration led to rapid pain alleviation.

Implications:

  • This case highlights the importance of considering Lyme neuroborreliosis in patients with unexplained severe localized pain.
  • Effective pain management in meningoradiculitis can be achieved with a combination of antibiotics and targeted analgesia.
  • Early and accurate diagnosis of borrelia meningoradiculitis is crucial for successful treatment outcomes.

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