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Perineuritis in acute lyme neuroborreliosis.

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Abstract

Perineuritis is an unusual cause of direct peripheral nerve injury. We describe the clinicopathologic features of a 56-year-old man with mononeuritis multiplex due to
Lyme disease; sural nerve biopsy demonstrated florid perineuritis. Treatment with intravenous ceftriaxone resulted in marked neurologic improvement. This study supports the notion that perineuritis forms part of the pathogenesis in acute
Lyme neuroborreliosis.

Muscle Nerve. 2009 Jun;39(6):851-4. doi: 10.1002/mus.21289. Case Reports

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