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Borrelia burgdorferi central nervous system infection presenting as an organic schizophrenialike disorder.

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Abstract

BACKGROUND:

We report on a 42-year-old female patient who presented with a schizophreniform disorder and complete relief of symptoms after specific therapy.

METHODS:

Cerebrospinal fluid and magnetic resonance imaging findings led to the diagnosis of
Lyme disease.

RESULTS:

To our knowledge this is the first reported case with an exclusive psychiatric manifestation of
Lyme disease.

CONCLUSIONS:

In case of first manifestation of psychotic disorder, although neurological symptoms are lacking,
Lyme disease should be considered and be excluded by cerebrospinal fluid analysis.

Biol Psychiatry. 1999 Mar 15;45(6):795. Case Reports

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