Neuroborreliosis de Lyme, Reporte de Caso
Lyme disease is a tick-borne disease of the Ixodes ricinus complex, the etiologic agent of which is the spirochete Borrelia burgdorferi. It is characterized by three chronologically superimposed stages separated by months or years: early localized infection, early disseminated infection, and late in...
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| Autores principales: | , , |
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| Formato: | Artículo |
| Lenguaje: | español |
| Publicado: |
2024
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| Materias: | |
| Acceso en línea: | https://dialnet.unirioja.es/servlet/oaiart?codigo=9762488 |
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| Sumario: | Lyme disease is a tick-borne disease of the Ixodes ricinus complex, the etiologic agent of which is the spirochete Borrelia burgdorferi. It is characterized by three chronologically superimposed stages separated by months or years: early localized infection, early disseminated infection, and late infection. It generally begins with erythema migrans at the site of the tick bite, disseminated disease manifests with neurological, cardiac, chronic skin, or joint involvement, and in the late phase, chronic neurological or arthritic symptoms may appear. Lyme disease with neurological signs is called Lyme neuroborreliosis (LNB) and can develop in either the disseminated or late stages, affecting any structure of the nervous system, but generally manifests as meningitis, radiculoneuritis, and/or cranial neuritis. Encephalitis, cerebral vasculitis, and myelitis are the most severe forms of LNB, but occur rarely. This clinical case describes a patient with encephalitis whose main manifestations are seizures and altered state of consciousness, with positive serology for B. burgdorferi, magnetic resonance images suggestive of this disease, and adequate response to antibiotic treatment. The importance of the case lies in the need to take this pathology into account in the differential diagnosis in order to establish early treatment and prevent potential complications. |
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