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Borrelia meningoradiculitis with severe pains
1Department of Infectious Diseases, Orebro Medical Centre Hospital, Sweden.
Scandinavian Journal of Infectious Diseases
|January 1, 1987
Abstract:
A 54-year-old woman with severe pains in the region of the right arcus costalis is presented. This case was a great therapeutic and diagnostic problem during 4 weeks. A borrelia meningoradiculitis was finally diagnosed by detection of specific antibodies in the cerebrospinal fluid. Intravenous benzylpenicillin in combination with epidural morphine hydrochloride resulted in a dramatic relief of the severe pains.
Insights
A challenging case of severe right upper quadrant pain was diagnosed as borrelia meningoradiculitis. Treatment with benzylpenicillin and epidural morphine provided significant pain relief.
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.