SERONEGATIVE CHRONIC RELAPSING NEUROBORRELIOSIS

被引:36
作者
LAWRENCE, C
LIPTON, RB
LOWY, FD
COYLE, PK
机构
[1] SUNY STONY BROOK, DEPT NEUROL, STONY BROOK, NY 11794 USA
[2] SUNY STONY BROOK, DEPT MED, STONY BROOK, NY 11794 USA
[3] SUNY STONY BROOK, ALBERT EINSTEIN COLL MED, DIV INFECT DIS, STONY BROOK, NY 11794 USA
关键词
LYME DISEASE; SERONEGATIVE; IMMUNE COMPLEX; HERXHEIMER;
D O I
10.1159/000117104
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
We report an unusual patient with evidence of Borrelia burgdorferi infection who experienced repeated neurologic relapses despite aggressive antibiotic therapy. Each course of therapy was associated with a Jarisch-Herxheimer-like reaction. Although the patient never had detectable free antibodies to B. burgdorferi in serum or spinal fluid, the CSF was positive on multiple occasions for complexed anti-B. burgdorferi antibodies, B. burgdorferi nucleic acids and free antigen.
引用
收藏
页码:113 / 117
页数:5
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