title: Hypoglycorrhachia in Lyme meningitis.
abstract: We describe a previously healthy 11-year-old girl with acute neuroborreliosis, who presented with left sixth cranial nerve palsy, elevated intracranial pressure, markedly elevated cerebrospinal fluid leukocyte count and protein concentration and severe hypoglycorrhachia. These laboratory findings are atypical for neuroborreliosis.
authors.affiliation: Division of Pediatric Infectious Diseases, Department of Pediatrics, Schneider Children's Hospital of the North Shore-Long Island Jewish Health System, New Hyde Park, NY, USA.
authors.forename: Nimrod E
authors.initials: NE
authors.lastname: Dayan
authors.forename: Lorry G
authors.initials: LG
authors.lastname: Rubin
authors.forename: David
authors.initials: D
authors.lastname: Di John
authors.forename: Sunil K
authors.initials: SK
authors.lastname: Sood
mesh_terms: D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D025065:Borrelia burgdorferi / Q000302:isolation & purification*; D002556:Cerebrospinal Fluid Proteins / Q000032:analysis / Q000378:metabolism*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020852:Lyme Neuroborreliosis / Q000134:cerebrospinal fluid / Q000175:diagnosis* / Q000188:drug therapy; D016920:Meningitis, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D018570:Risk Assessment; D012720:Severity of Illness Index; D013129:Spinal Puncture; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D002556:Cerebrospinal Fluid Proteins