tailieunhanh - Báo cáo y học: "Altered mental status, an unusual manifestation of early disseminated Lyme disease: A case repor"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Altered mental status, an unusual manifestation of early disseminated Lyme disease: A case report. | Journal of Medical Case Reports BioMed Central Case report Altered mental status an unusual manifestation of early disseminated Lyme disease A case report Shiven B Chabria and Jock Lawrason Open Access Address Department of Medicine Waterbury Hospital Waterbury Connecticut USA Email Shiven B Chabria - shivenchabria@ Jock Lawrason - jlawrason@ Corresponding author Published 9 August 2007 Received 24 April 2007 Journal of Medical Case Reports 2007 1 62 doi 1752-1947-1-62 Accepted 9 August 2007 This article is available from http content 1 1 62 2007 Chabria and Lawrason licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Early disseminated Lyme disease can have a myriad of central nervous system manifestations. These run the gamut from meningitis to radiculopathy and cranial neuropathy. Here we present a case that manifested with only acute mental status change in the setting of central nervous system involvement with Lyme disease. A paucity of other central nervous system manifestations is rare especially with positive serum and cerebrospinal fluid markers. This article underscores the importance of a high index of clinical suspicion in detection of Lyme disease related manifestations in endemic areas. Background Lyme disease is a multisystem inflammatory disease caused by spirochetes known collectively as Borrelia burgdorferi which are spread by the bite of infected Ixodes ticks. Lyme disease was first described in studies of an outbreak of juvenile rheumatoid arthritis in Connecticut 1 . It is endemic in the states of Massachusetts Connecticut Maine New Hampshire Rhode Island New York New Jersey Pennsylvania Delaware Maryland Michigan and Wisconsin 2 . The .

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