Stroke due to Lyme disease.
A 56-year-old Connecticut woman suffered multiple strokes 18 months after antibiotic treatment for early Lyme disease with facial palsy. Pleocytosis, intrathecal synthesis of anti-Borrelia burgdorferi antibody, and the response to antibiotic treatment substantiated the diagnosis of neuroborreliosis. This is the first report of stroke caused by Lyme disease acquired in North America.
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Department of Neurology, University of Connecticut Health Center, Farmington 06030-1845.
D000907:Antibodies, Bacterial / Q000032:analysis / Q000134:cerebrospinal fluid; D015153:Blotting, Western; D015748:Borrelia burgdorferi Group / Q000276:immunology; D002443:Ceftriaxone / Q000627:therapeutic use; D002561:Cerebrovascular Disorders / Q000134:cerebrospinal fluid / Q000175:diagnosis / Q000209:etiology*; D004318:Doxycycline / Q000627:therapeutic use; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged
D000907:Antibodies, Bacterial; D002443:Ceftriaxone; D004318:Doxycycline