Altered mental status as unusual manifestation of early disseminated Lyme disease: A case report

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Altered mental status, an unusual manifestation of early disseminated Lyme

disease: A case report

Shiven B Chabria and Jock Lawrason

Journal of Medical Case Reports 2007, 1:62 doi:10.1186/1752-1947-1-62

Published 9 August 2007

http://www.jmedicalcasereports.com/content/1/1/62/abstract

Abstract (provisional)

The complete article is available as a provisional PDF. The fully

formatted PDF and HTML versions are in production.

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.