Lyme Meningoencephalitis Masquerading as Normal Pressure Hydrocephalus

Lyme disease is a tick-borne illness caused primarily by the spirochete Borrelia burgdorferi. The disease is most prevalent in forested areas endemic for Ixodes tick, which transmits the spirochete. Here, we describe a case of Lyme meningoencephalitis masquerading as normal pressure hydrocephalus (N...

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Autores principales: Desai, Aakash, Manek, Gaurav, Krishnan, Anand M, Iorgoveanu, Corina, Zaghloul, Ahmed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2018
Materias:
Internal Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984262/
https://www.ncbi.nlm.nih.gov/pubmed/29872598
http://dx.doi.org/10.7759/cureus.2417
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author Desai, Aakash
Manek, Gaurav
Krishnan, Anand M
Iorgoveanu, Corina
Zaghloul, Ahmed
author_facet Desai, Aakash
Manek, Gaurav
Krishnan, Anand M
Iorgoveanu, Corina
Zaghloul, Ahmed
author_sort Desai, Aakash
collection PubMed
description Lyme disease is a tick-borne illness caused primarily by the spirochete Borrelia burgdorferi. The disease is most prevalent in forested areas endemic for Ixodes tick, which transmits the spirochete. Here, we describe a case of Lyme meningoencephalitis masquerading as normal pressure hydrocephalus (NPH) which initially presented with urinary incontinence, gait instability, and neurological decline. Due to its non-specific symptoms and low incidence, Lyme meningoencephalitis causing NPH like syndrome poses a diagnostic conundrum for clinicians. Awareness of this disease entity is key for prompt diagnosis and treatment.
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spelling pubmed-59842622018-06-05 Lyme Meningoencephalitis Masquerading as Normal Pressure Hydrocephalus Desai, Aakash Manek, Gaurav Krishnan, Anand M Iorgoveanu, Corina Zaghloul, Ahmed Cureus Internal Medicine Lyme disease is a tick-borne illness caused primarily by the spirochete Borrelia burgdorferi. The disease is most prevalent in forested areas endemic for Ixodes tick, which transmits the spirochete. Here, we describe a case of Lyme meningoencephalitis masquerading as normal pressure hydrocephalus (NPH) which initially presented with urinary incontinence, gait instability, and neurological decline. Due to its non-specific symptoms and low incidence, Lyme meningoencephalitis causing NPH like syndrome poses a diagnostic conundrum for clinicians. Awareness of this disease entity is key for prompt diagnosis and treatment. Cureus 2018-04-03 /pmc/articles/PMC5984262/ /pubmed/29872598 http://dx.doi.org/10.7759/cureus.2417 Text en Copyright © 2018, Desai et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Desai, Aakash
Manek, Gaurav
Krishnan, Anand M
Iorgoveanu, Corina
Zaghloul, Ahmed
Lyme Meningoencephalitis Masquerading as Normal Pressure Hydrocephalus
title Lyme Meningoencephalitis Masquerading as Normal Pressure Hydrocephalus
title_full Lyme Meningoencephalitis Masquerading as Normal Pressure Hydrocephalus
title_fullStr Lyme Meningoencephalitis Masquerading as Normal Pressure Hydrocephalus
title_full_unstemmed Lyme Meningoencephalitis Masquerading as Normal Pressure Hydrocephalus
title_short Lyme Meningoencephalitis Masquerading as Normal Pressure Hydrocephalus
title_sort lyme meningoencephalitis masquerading as normal pressure hydrocephalus
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5984262/
https://www.ncbi.nlm.nih.gov/pubmed/29872598
http://dx.doi.org/10.7759/cureus.2417
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