[Multiple mononeuropathy and inflammatory syndrome manifested in Lyme disease].
Meningo-radiculitis is the most common peripheral nerve system involvement of Lyme disease. We report the observation of a 73 year-old woman presenting a subacute multiple mononeuropathy and a severe inflammatory syndrome. Diagnosis of Lyme disease was confirmed by a lymphocytic meningitis with positive serologic results in the cerebrospinal fluid. Nerve biopsy showed inflammatory cells spreading along the endoneurium. This case report emphasizes that Lyme disease may present as a multiple mononeuropathy mimicking a vasculitic neuropathy.
Jalladeau
E
E
Fédération de Neurologie Mazarin, Groupe Hospitalier Pitié-Salpêtrière, Paris.
Pradat
P F
PF
Maisonobe
T
T
Léger
J M
JM
D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D020852:Lyme Neuroborreliosis / Q000175:diagnosis* / Q000473:pathology; D020422:Mononeuropathies / Q000175:diagnosis* / Q000473:pathology; D010525:Peripheral Nerves / Q000473:pathology; D018746:Systemic Inflammatory Response Syndrome / Q000175:diagnosis* / Q000473:pathology