[Pain syndromes in tick-borne neuroborreliosis. Clinical aspects and differential diagnosis.].

Der Schmerz
J Kohler, U Thoden

Abstract

Tick-borne borreliosis (Borrelia burgdorferi) is a common and complex disorder affecting the skin, the joints and the nervous system. It progresses through different clinical stages. The clinical spectrum of neuroborreliosis has expanded since the introduction and widespread application of specific serological tests. We have investigated 41 patients with Bannwarth's meningopolyneuritis (MPN) as the classical form of neuroborreliosis, in a prospective (26 patients) and a retrospective (15 patients) study. When questioned, 19/41 patients reported a tick bite and only 15/41, erythema migrans as the characteristic early skin lesion. In 34/41 patients typical MPN characterized by painful radiculoneuritis and/or cranial neuritis, especially facial palsy, were seen. Among these, 3 had a complicated form with a progressive remitting relapsing course or focal central nervous system involvement (hemiparesis, cerebellar syndrome); 2 had mild meningitis and facial nerve palsy bilaterally without radicular pain; and in 5 radicular pain was the only symptom. MPN associated with Lyme arthritis was observed only once. In 2 patients in the retrospective study (no antibiotics in the acute stage) we saw a chronic spinal cord disorder with spastic...Continue Reading

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Citations

Sep 1, 1989·Der Schmerz·R Wörz
Mar 1, 1988·Der Schmerz·J KohlerU Thoden
Jan 14, 1998·Infection·H R BruckbauerH Hofmann
Jan 27, 2012·Arthritis Care & Research·Jonathan D JonesWilliam F Rigby
Jul 1, 1993·Clinics in Dermatology·W Kristoferitsch
Jul 16, 2016·Open Forum Infectious Diseases·Gary P Wormser, Vanessa Wormser
May 11, 2016·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Katarina OgrincFranc Strle
Oct 21, 2016·Autoimmunity Reviews·Andrea T Borchers, M Eric Gershwin

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