title: Altered mental status, an unusual manifestation of early disseminated Lyme disease: A case report.
abstract: Early disseminated Lyme disease can have a myriad of central nervous system manifestations. These run the gamut from meningitis to radiculopathy and cranial neuropathy. Here we present a case that manifested with only acute mental status change in the setting of central nervous system involvement with Lyme disease. A paucity of other central nervous system manifestations is rare, especially with positive serum and cerebrospinal fluid markers. This article underscores the importance of a high index of clinical suspicion in detection of Lyme disease related manifestations in endemic areas.
authors: Department of Medicine, Waterbury Hospital, Waterbury, Connecticut, USA. shivenchabria@yahoo.com.
authors: Shiven B
authors: SB
authors: Chabria
authors: Jock
authors: J
authors: Lawrason
references: Neurology. 1985 Jan;35(1):47-53
references: 3966001
references: Am J Med. 1990 Jun;88(6):577-81
references: 2346158
references: Neurology. 1994 Jul;44(7):1203-7
references: 8035916
references: Med Lett Drugs Ther. 2005 May 23;47(1209):41-3
references: 15912123
references: Arthritis Rheum. 1977 Jan-Feb;20(1):7-17
references: 836338
references: Am J Med. 1995 Apr 24;98(4A):30S-37S; discussion 37S-43S
references: 7726190
references: J Infect Dis. 1993 Feb;167(2):392-400
references: 8380611
references: Ann Intern Med. 1987 Nov;107(5):725-31
references: 3662285