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26.07.2018 | Borreliose | Lyme Borreliosis | Ausgabe 15-16/2018 Open Access

Wiener klinische Wochenschrift 15-16/2018

Secondary dementia due to Lyme neuroborreliosis

Zeitschrift:
Wiener klinische Wochenschrift > Ausgabe 15-16/2018
Autoren:
Wolfgang Kristoferitsch, Fahmy Aboulenein-Djamshidian, Julia Jecel, Helmut Rauschka, Michael Rainer, Gerold Stanek, Peter Fischer

Summary

Dementia-like syndromes are rare manifestations of Lyme neuroborreliosis. The clinical patterns are summarized using our own cases and case reports from the literature, which were diagnosed as definite Lyme neuroborreliosis according to the European guidelines. The cases disclose signs of subcortical dementia that occur more rapidly than in patients suffering from primary dementia. Gait disturbances early in the disease course is another frequently observed characteristic feature. The response to 2–4 weeks of antibiotic treatment with ceftriaxone was excellent. There were no indications for a prolonged antibiotic treatment. It is essential to be aware of this manifestation of Lyme neuroborreliosis, because early antibiotic treatment will prevent permanent sequelae that may occur throughout the further course of the untreated disease.
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