[Persistent leg pain].
A 72 year old patient suddenly experienced severe lumbar pain irradiating into the right leg. Later on, weakness of the muscles thigh appeared. A thorough radiological investigation which showed degenerative alterations of the vertebral column did not supply an explanation. After a pathological titer against Borrelia burgdorferi was found in serum and radiculitis was detected on EMG, the diagnosis of Lyme-Borreliosis of the nervous system could be confirmed by analysis of the cerebrospinal fluid. Under intravenous antibiotic treatment with Ceftriaxone (2 to 4 g daily for three weeks) the symptoms regressed completely, and the pathological findings in the CSF regressed. The significance of some findings in CSF in relation to Borreliosis of the CNS.
Satz
N
N
Medizinische Abteilung Kreisspital Männedorf, Zürich.
Dvorak
J
J
Reich
C
C
Knoblauch
M
M
D000368:Aged; D001416:Back Pain / Q000175:diagnosis*; D003937:Diagnosis, Differential; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis; D008193:Lyme Disease / Q000150:complications*; D008297:Male; D011843:Radiculopathy / Q000175:diagnosis* / Q000209:etiology; D013166:Spondylitis / Q000175:diagnosis
Hartnäckige Beinschmerzen.