title: Lyme disease presenting as urinary retention.
abstract: We report a case of Lyme disease that presented with urinary retention. The individual then experienced lower extremity paralysis. Paralysis and urinary retention resolved with intravenous ceftriaxone antibiotic. To our knowledge this is the first report of a urological manifestation as the initial clinical presentation of Lyme disease. Recognition of clinical symptoms and urological complications of Lyme disease also are discussed.
authors.affiliation: Department of Urology, College of Physicians and Surgeons, Columbia University, New York, New York.
authors.forename: M B
authors.initials: MB
authors.lastname: Chancellor
authors.forename: V M
authors.initials: VM
authors.lastname: Dato
authors.forename: J Y
authors.initials: JY
authors.lastname: Yang
mesh_terms: D000328:Adult; D002443:Ceftriaxone / Q000627:therapeutic use; D004679:Encephalomyelitis / Q000209:etiology; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000188:drug therapy; D008590:Meningoencephalitis / Q000209:etiology; D010264:Paraplegia / Q000209:etiology; D014555:Urination Disorders / Q000209:etiology*
chemical_list: D002443:Ceftriaxone