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Untreated neuroborreliosis: Bannwarth's syndrome evolving into acute schizophrenia-like psychosis

A case report

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Summary

In general, meningopolyradiculitis (Bannwarth's syndrome, stage 2 of neuroborreliosis) follows a predictable monophasic self-limiting course. In contrast, we report the case of a patient with an untreated meningopolyradiculitis which evolved into acute schizophrenia-like psychosis due to persistent infection withBorrelia burgdorferi. The psychosis resolved within 1 week of treatment with ceftriaxone. This case shows that the usually benign monophasic meningopolyradiculitis may progress to severe CNS complications, which may have implications on current pathophysiological beliefs.

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Roelcke, U., Barnette, W., Wilder-Smith, E. et al. Untreated neuroborreliosis: Bannwarth's syndrome evolving into acute schizophrenia-like psychosis. J Neurol 239, 129–131 (1992). https://doi.org/10.1007/BF00833910

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  • DOI: https://doi.org/10.1007/BF00833910

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