Abstract
Neuroborreliosis frequently occurs in endemic areas, whereas encephalomyelitis is uncommon. Treatment consists classically of 2 to 4 weeks of recommended antimicrobial agents with a generally good outcome. A severe case is reported combining an encephalomyelitis with an axonal polyneuropathy. Clinical improvement was observed only with the use of prolonged high dose of 2 antimicrobial agents combined with steroids.
MeSH terms
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Adult
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Borrelia burgdorferi / drug effects*
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Borrelia burgdorferi / isolation & purification
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Ceftriaxone / therapeutic use
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Contrast Media
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Dose-Response Relationship, Drug
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Doxycycline / therapeutic use
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Drug Administration Schedule
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Drug Therapy, Combination / therapeutic use*
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Follow-Up Studies
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Humans
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Lyme Neuroborreliosis / diagnosis*
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Lyme Neuroborreliosis / drug therapy*
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Male
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Methylprednisolone / therapeutic use*
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Risk Assessment
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Severity of Illness Index
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Tomography, X-Ray Computed
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Treatment Outcome
Substances
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Contrast Media
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Ceftriaxone
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Doxycycline
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Methylprednisolone