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BMC Neurology
Published in: BMC Neurology 1/2010

Open Access 01-12-2010 | Case report

Severe course of Lyme neuroborreliosis in an HIV-1 positive patient; case report and review of the literature

Authors: Nathalie D van Burgel, Mayke Oosterloo, Frank P Kroon, Alje P van Dam

Published in: BMC Neurology | Issue 1/2010

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Abstract

Background

Lyme Neuroborreliosis (LNB) in a human immunodeficiency virus (HIV) positive patient is a rare co-infection and has only been reported four times in literature. No case of an HIV patient with a meningoencephalitis due to LNB in combination with HIV has been described to date.

Case presentation

A 51 year old woman previously diagnosed with HIV presented with an atypical and severe LNB. Diagnosis was made evident by several microbiological techniques. Biochemical and microbiological recovery during treatment was rapid, however after treatment the patient suffered from severe and persistent sequelae.

Conclusions

A clinician should consider LNB when being confronted with an HIV patient with focal encephalitis, without any history of Lyme disease or tick bites, in an endemic area. Rapid diagnosis and treatment is necessary in order to minimize severe sequelae.
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Metadata
Title
Severe course of Lyme neuroborreliosis in an HIV-1 positive patient; case report and review of the literature
Authors
Nathalie D van Burgel
Mayke Oosterloo
Frank P Kroon
Alje P van Dam
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Neurology / Issue 1/2010
Electronic ISSN: 1471-2377
DOI
https://doi.org/10.1186/1471-2377-10-117

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