Borrelia burgdorferi central nervous system infection presenting as an organic schizophrenialike disorder.
BACKGROUND
We report on a 42-year-old female patient who presented with a schizophreniform disorder and complete relief of symptoms after specific therapy.


METHODS
Cerebrospinal fluid and magnetic resonance imaging findings led to the diagnosis of Lyme disease.


RESULTS
To our knowledge this is the first reported case with an exclusive psychiatric manifestation of Lyme disease.


CONCLUSIONS
In case of first manifestation of psychotic disorder, although neurological symptoms are lacking, Lyme disease should be considered and be excluded by cerebrospinal fluid analysis.
Hess
A
A
Department of Neurology, University of Rostock, Germany.
Buchmann
J
J
Zettl
U K
UK
Henschel
S
S
Schlaefke
D
D
Grau
G
G
Benecke
R
R
D000328:Adult; D001899:Borrelia Infections / Q000175:diagnosis* / Q000469:parasitology*; D015748:Borrelia burgdorferi Group / Q000302:isolation & purification*; D003072:Cognition Disorders / Q000175:diagnosis / Q000469:parasitology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis* / Q000469:parasitology*; D009483:Neuropsychological Tests; D011618:Psychotic Disorders / Q000175:diagnosis* / Q000469:parasitology*