title: Chronic neuroborreliosis by B. garinii: an unusual case presenting with epilepsy and multifocal brain MRI lesions.
abstract: Late/chronic Lyme neuroborreliosis (LNB) represents a challenging entity whose diagnosis requires a combination of clinical and laboratory findings, surrounded by much controversy. Here we describe a patient who had a peculiar form of late LNB with CNS lesions shown by magnetic resonance imaging (MRI), and epileptic seizures, etiologically diagnosed by conventional and molecular methods. The current case provides evidence that patients presenting with epileptic seizures and MRI-detected multifocal lesions, particularly when a facial palsy has also occurred, should raise the suspicion of LNB, as this diagnosis has important implications for treatment and prognosis.
authors.affiliation: Institute of Microbiology, Department of Health Sciences, "Magna Graecia" University, Catanzaro, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Matera
authors.forename: Angelo
authors.initials: A
authors.lastname: Labate
authors.forename: Angela
authors.initials: A
authors.lastname: Quirino
authors.forename: Angelo G
authors.initials: AG
authors.lastname: Lamberti
authors.forename: Giuseppe
authors.initials: G
authors.lastname: BorzÃ
authors.forename: Giorgio S
authors.initials: GS
authors.lastname: Barreca
authors.forename: Laura
authors.initials: L
authors.lastname: Mumoli
authors.forename: Cinzia
authors.initials: C
authors.lastname: Peronace
authors.forename: Aida
authors.initials: A
authors.lastname: Giancotti
authors.forename: Antonio
authors.initials: A
authors.lastname: Gambardella
authors.forename: Alfredo
authors.initials: A
authors.lastname: FocÃ
authors.forename: Aldo
authors.initials: A
authors.lastname: Quattrone
mesh_terms: D000328:Adult; D000907:Antibodies, Bacterial / Q000097:blood; D015748:Borrelia burgdorferi Group / Q000235:genetics / Q000276:immunology / Q000302:isolation & purification*; D001921:Brain / Q000000981:diagnostic imaging*; D002908:Chronic Disease; D004827:Epilepsy / Q000097:blood / Q000000981:diagnostic imaging / Q000382:microbiology*; D006801:Humans; D020852:Lyme Neuroborreliosis / Q000097:blood / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000382:microbiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography
chemical_list: D000907:Antibodies, Bacterial