Abdominal wall weakness and lumboabdominal pain revealing neuroborreliosis: a report of three cases.
The authors report three cases of thoracic radiculoneuropathy disclosing neuroborreliosis. All three patients had low back and abdominal pain and two had marked abdominal wall paresis. EMG confirmed a motor involvement of the lower thoracic roots and CSF analysis revealed a lymphocytic meningitis in all three cases. Antibodies against Borrelia burgdorferi were present in both the serum and the CSF. A favourable outcome was obtained in all three patients with appropriate antibiotherapy. The differential diagnosis of this misleading presentation is discussed.
Mormont
E
E
Cliniques Universitaires UCL de Mont-Godinne, Université Catholique de Louvain, Yvoir, Belgium.
Esselinckx
W
W
De Ronde
T
T
Hanson
P
P
Deltombe
T
T
Laloux
P
P
D000009:Abdominal Muscles; D015746:Abdominal Pain / Q000209:etiology*; D000907:Antibodies, Bacterial / Q000097:blood / Q000134:cerebrospinal fluid; D015415:Biomarkers / Q000097:blood / Q000134:cerebrospinal fluid; D025065:Borrelia burgdorferi / Q000276:immunology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000209:etiology*; D020852:Lyme Neuroborreliosis; D008297:Male; D016920:Meningitis, Bacterial / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology*; D008875:Middle Aged; D010291:Paresis / Q000209:etiology*; D011128:Polyradiculopathy / Q000209:etiology*
D000907:Antibodies, Bacterial; D015415:Biomarkers