Pain as presenting symptom in Lyme neuroborreliosis.
Neurogenic pain with radiculitis is often the starting symptom in adult patients with tick-borne Lyme neuroborreliosis and in some cases the only clinical manifestation. Cranial paresis and other neurologic signs usually occur after the onset of pain. The present paper describes four patients who had severe pain as the main presenting symptom of Lyme neuroborreliosis. Opioids had good short-term effect in two of the cases. Oral doxycycline treatment was used successfully to eliminate the infection.
Department of Infectious Diseases, Sahlgrenska University Hospital/Ostra, SE-416 85 Göteborg, Sweden. leif.dotevall@medfak.gu.se
Leif
L
Dotevall
Tore
T
Eliasson
Lars
L
Hagberg
Clas
C
Mannheimer
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004318:Doxycycline / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D020852:Lyme Neuroborreliosis / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D008875:Middle Aged; D009294:Narcotics / Q000627:therapeutic use*; D010146:Pain / Q000188:drug therapy / Q000382:microbiology*; D011843:Radiculopathy / Q000382:microbiology
D000900:Anti-Bacterial Agents; D009294:Narcotics; D004318:Doxycycline