A case report of unilateral cerebral vasculitis in adults: keep in mind Lyme neuroborreliosis.
BMC Infect Dis
; 23(1): 283, 2023 May 04.
Article
en En
| MEDLINE
| ID: mdl-37142957
ABSTRACT
BACKGROUND:
Lyme neuroborreliosis (LNB), due to infection of the nervous system by the spirochete Borrelia burgdorferi, occurs in 15% of Lyme disease cases. However, neurovascular involvement is uncommon, especially recurrent stroke related to cerebral vasculitis in the absence of CSF pleocytosis. CASE PRESENTATION We report the case of a 58-year-old man without any medical history who exhibited recurrent strokes in the same vascular territory (left internal carotid). Multiple biological screening, neuroimaging methods, and cardiovascular examinations failed to provide a diagnosis and treatment that could have prevented recurrences. Finally, B. burgdorferi sensu lato serology testing in blood and cerebrospinal fluid enabled diagnosis of LNB, in relation to a cerebral vasculitis. The patient experienced no further stroke after four weeks of doxycycline treatment.CONCLUSION:
B. burgdorferi central nervous system infection must be considered in case of unexplained recurrent and/or multiple strokes, especially if cerebral vasculitis is suspected or demonstrated on neuroimaging.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Neuroborreliosis de Lyme
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Vasculitis del Sistema Nervioso Central
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Accidente Cerebrovascular
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Borrelia burgdorferi
Tipo de estudio:
Diagnostic_studies
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Etiology_studies
Límite:
Adult
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2023
Tipo del documento:
Article