Neuroborreliosis with progression from pseudotumor cerebri to aseptic meningitis.
We report a patient with an initial diagnosis of Lyme-associated pseudotumor cerebri who developed cerebrospinal fluid pleocytosis consistent with Lyme meningitis. The case illustrates the importance of considering neuroborreliosis in the differential diagnosis of pseudotumor cerebri and describes the evolution of cerebrospinal fluid findings in this condition.
Steenhoff
Andrew P
AP
Division of Infectious Diseases, The Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA, USA. Steenhoff@email.chop.edu
Smith
Michael J
MJ
Shah
Samir S
SS
Coffin
Susan E
SE
D000907:Antibodies, Bacterial / Q000097:blood; D025065:Borrelia burgdorferi / Q000276:immunology; D002555:Cerebrospinal Fluid / Q000166:cytology; D002648:Child; D018450:Disease Progression; D006801:Humans; D007964:Leukocytosis; D020852:Lyme Neuroborreliosis / Q000175:diagnosis* / Q000188:drug therapy / Q000503:physiopathology; D008297:Male; D008582:Meningitis, Aseptic / Q000175:diagnosis* / Q000188:drug therapy; D011559:Pseudotumor Cerebri / Q000175:diagnosis* / Q000188:drug therapy
D000907:Antibodies, Bacterial