Encefalomielitis extensa por Borrelia: una forma atípica de neuroborreliosis / Extensive encephalomyelitis due to Borrelia: an atypical form of neuroborreliosis

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[Decisive scintigraphic diagnosis in a case of Borrelia infective sacro-iliitis]. / Diagnosi scintigrafica decisiva in un caso di sacro-ileite infettiva da Borrelia.

The authors describe one case of infections sacro-iliitis caused by Borrelia, where the diagnostic procedures by conventional radiology, computerized tomography and nuclear magnetic resonance imaging have not permitted the localization and the assessment of joint inflammatory disease. The bone "theree phases" scintiscan by 99m Technectium-methylene diphosphonate (99mTC-MDP) has made it possible to localize on left sacro-iliac synchondrosis a modification of radioactivity, due to inflammations. Next microbiological studies gave a positive result for borrelia. The authors finish by underlying the importance of the nuclear medicine methods in the screening of infective osteo-arthritis.

Chronic forms of Borrelia burgdorferi infection of the nervous system.

Three European patients had chronic active forms of Borrelia burgdorferi infection of the nervous system, with high titers of antibodies to this spirochete in serum and CSF. Two patients had meningitis for 3 to 4 years, with remissions in one and slowly progressive symptoms in the other. Both had CT lucencies in the basal ganglia. The third patient had lumbosacral plexus neuropathy for 1 year. All three patients responded to intravenous penicillin treatment.

Arthritis and panuveitis as manifestations of Borrelia burgdorferi infection in a Wisconsin pony.

Infection with Borrelia burgdorferi caused panuveitis and arthritis in a pony. Spirochetes were detected by direct immunofluorescence in the anterior chamber of the eye. The carpal joints had severe degenerative joint disease, with synovial proliferation. The synovium and serum had B burgdorferi antibody titers of 1:1024. The pony lived in an area of Wisconsin where infection with B burgdorferi is endemic in human beings. Previously, serum antibodies to B burgdorferi had been found in horses, but disease had not been reported.