[Meningoradiculitis caused by a spirochete (Borrelia burgdorferi) after arthropod bite].
Eight cases of meningoradiculitis (Garin-Bujadoux-Bannwarth's syndrome) are presented; the first case followed an "unidentified insect" bite and erythema chronicum migrans, whereas the second and third cases were not preceded by any documented insect bite or erythema; they occurred during summer in 1984 and 1985 and were characterized by cranial or radicular neuritis, lymphocytic meningitis, positive serology by immunofluorescence against Borrelia Burgdorferi and a good response to Penicillin (20 000 000 U during 14 days I.V.). Five other cases were observed in the same area as the first and second cases (Walloon Brabant) during the preceding summers; in two, serological proof of Borrelia Burgdorferi infection was obtained retrospectively. Lyme disease and Garin-Bujadoux-Bannwarth syndrome are both tick-born spirochetosis, due to two slightly different subtypes of Borrelia Burgdorferi. Their early neurological manifestations differ mainly by focalised pain on the bitten region in Garin-Bujadoux-Bannwarth's syndromes. This could be due to direct aggression of the peripheral nerve in Garin-Bujadoux-Bannwarth syndrome.
D000907:Antibodies, Bacterial / Q000032:analysis; D001181:Arthropods; D001733:Bites and Stings / Q000150:complications*; D001898:Borrelia / Q000276:immunology; D001899:Borrelia Infections / Q000175:diagnosis / Q000188:drug therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis; D008581:Meningitis / Q000209:etiology*; D008582:Meningitis, Aseptic / Q000134:cerebrospinal fluid / Q000209:etiology*; D008875:Middle Aged; D010400:Penicillin G / Q000627:therapeutic use; D010523:Peripheral Nervous System Diseases / Q000209:etiology; D011843:Radiculopathy / Q000209:etiology*; D013752:Tetracycline / Q000627:therapeutic use; D013987:Ticks
D000907:Antibodies, Bacterial; D013752:Tetracycline; D010400:Penicillin G
Méningo-radiculite par spirochète (Borrelia burgdorferi) après piqûre d'arthropodes.