title: Borrelia burgdorferi central nervous system infection presenting as an organic schizophrenialike disorder.
abstract: 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.
authors: Department of Neurology, University of Rostock, Germany.
authors: A
authors: A
authors: Hess
authors: J
authors: J
authors: Buchmann
authors: U K
authors: UK
authors: Zettl
authors: S
authors: S
authors: Henschel
authors: D
authors: D
authors: Schlaefke
authors: G
authors: G
authors: Grau
authors: R
authors: R
authors: Benecke
mesh_terms: 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*