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Lyme neuroborreliosis with acute meningitis as the presenting manifestation: report of a case.

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Abstract

To enhance the understanding of
Lyme disease, a case of
Lyme neuroborreliosis with acute meningitis as the presenting manifestation was reported. The diagnosis was confirmed by elevated serum antibody response to B. burgdorferi using both ELISA and Western blotting, excluding other causes of neurological abnormalities and the typical response of our patient to antibiotics. This case indicates the existence of
Lyme disease in Beijing area. If the etiology of a meningitis with lymphocytic pleocytosis is not known, it is important that
Lyme neuroborreliosis should be considered as one of the differential diagnoses and detection of antibody to B. burgdorferi in serum and cerebrospinal fluid performed in time. A brief review of the literature including epidemiology, clinical menifestations, diagnosis and treatment of
Lyme disease was made.

Zhonghua Nei Ke Za Zhi. 1997;36(1):21-4. Case Reports; English Abstract; Review

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