title: Neuroborreliosis: the Guillain-Barré mimicker.
abstract: A 34-year-old woman presented to the medical admissions unit with progressive ascending weakness of her limbs and areflexia. Diagnosis of Guillain-Barré syndrome was suspected and she was started on intravenous immunoglobulins. Owing to a poor initial response, further exploratory history revealed travel to the New Forest and a possible tick bite; subsequent investigations confirmed positive serology for antibodies against Borrelia. The patient's weakness improved with intravenous ceftriaxone for neuroborreliosis, a manifestation of Lyme disease. With inpatient neurorehabilitation, she made good recovery and was able to mobilise with a stick from being completely bed bound 6 weeks after completion of her antibiotics.
authors.affiliation: Kettering General Hospital, Kettering, Northamptonshire, UK.
authors.forename: Niharika
authors.initials: N
authors.lastname: Tyagi
authors.affiliation: Kettering General Hospital, Kettering, Northamptonshire, UK.
authors.forename: Tim
authors.initials: T
authors.lastname: Maheswaran
authors.affiliation: Department of Neurology, Kettering General Hospital, Kettering, Northamptonshire, UK.
authors.forename: Sunil
authors.initials: S
authors.lastname: Wimalaratna
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D020275:Guillain-Barre Syndrome / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis* / Q000473:pathology; D009420:Nervous System / Q000473:pathology*; D064927:Tick Bites
chemical_list: D000900:Anti-Bacterial Agents