Constipation heralding neuroborreliosis: an atypical tale of 2 patients.
This is a report of 2 patients with Lyme disease who initially presented with severe constipation, which progressed to ascending muscular weakness resembling acute idiopathic polyneuritis, with neuropsychiatric symptoms, severe urinary retention, and hyponatremia. These symptoms resolved following proper antibiotic therapy.
Shamim
Ejaz A
EA
Department of Neurology, Georgetown University Medical Center.
Shamim
Sadat A
SA
Liss
Gordon
G
Nylen
Eric
E
Pincus
Jonathan H
JH
Yepes
Manuel
M
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood / Q000134:cerebrospinal fluid; D002443:Ceftriaxone / Q000627:therapeutic use; D003248:Constipation / Q000209:etiology* / Q000503:physiopathology; D003863:Depression / Q000209:etiology; D006212:Hallucinations / Q000209:etiology; D006801:Humans; D007010:Hyponatremia / Q000188:drug therapy / Q000209:etiology; D020852:Lyme Neuroborreliosis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D001523:Mental Disorders / Q000209:etiology; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology; D012698:Serologic Tests; D016896:Treatment Outcome; D014555:Urination Disorders / Q000209:etiology
D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D002443:Ceftriaxone