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Case Reports
. 2023 Feb 3:31:e01704.
doi: 10.1016/j.idcr.2023.e01704. eCollection 2023.

Lyme neuroborreliosis with encephalitis: A rare case

Simone Bruhn Rosendahl  1 , Pernille Ravn  1 , Anne-Mette Lebech  2   3 , Christian Peter Midtgaard Stenør  4   3
Affiliations
Case Reports

Lyme neuroborreliosis with encephalitis: A rare case

Simone Bruhn Rosendahl et al. IDCases. .

Abstract

Encephalitis caused by Borrelia burgdorferi sensu lato is a rare clinical manifestation of Lyme neuroborreliosis and only in few cases have brain parenchymal inflammation been documented. Here, we present a case of Lyme neuroborreliosis with encephalitis with significant parenchymal inflammation on magnetic resonance imaging (MRI) in an immunosuppressed patient.

Keywords: Encephalitis; Immunosuppression; Lyme neuroborreliosis; MRI; Neuroinfection.

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Conflict of interest statement

SBR, PR, CMS: none. AML: outside of the present work, AML reports unrestricted grants for Gilead, speakers honorarium/travel grants/advisory board activity from Gilead/GSK and speakers honorarium/advisory board activity from Pfizer.

Figures

Fig. 1
Fig. 1
MRI FLAIR with bilateral hyperintensities in A: basal gangliae and thalami (arrows), B: medial temporal lobes and mesencephalon (wide arrows). There was no abnormal contrast enhancement including meninges and no areas of restricted diffusion (not shown). These changes completely resolved on a follow-up MRI (not shown).
See this image and copyright information in PMC

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