title: Constipation heralding neuroborreliosis: an atypical tale of 2 patients.
abstract: 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.
authors.affiliation: Department of Neurology, Georgetown University Medical Center.
authors.forename: Ejaz A
authors.initials: EA
authors.lastname: Shamim
authors.forename: Sadat A
authors.initials: SA
authors.lastname: Shamim
authors.forename: Gordon
authors.initials: G
authors.lastname: Liss
authors.forename: Eric
authors.initials: E
authors.lastname: Nylen
authors.forename: Jonathan H
authors.initials: JH
authors.lastname: Pincus
authors.forename: Manuel
authors.initials: M
authors.lastname: Yepes
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents; D000907:Antibodies, Bacterial; D002443:Ceftriaxone