Endogenous paranoid-hallucinatory syndrome caused by Borrelia encephalitis
Barnett, W.; Sigmund, D.; Roelcke, U.; Mundt, C.
Der Nervenarzt 62(7): 445-447
1991
ISSN/ISBN: 0028-2804 PMID: 1922585 Document Number: 375557
We describe a case with no neurological signs but marked psychiatric symptoms induced by borrelia burgdorferi, whose clinical picture was indistinguishable from an endogenous schizophrenia. The symptoms within one week under antibiotic treatment with ceftriaxon, but afterwards the patient showed a mild organic brain syndrome. The case demonstrated the aetiologic nonspecificity of paranoid symptoms and hallucinations and emphasizes that in psychotic patients without psychiatric history additional diagnostic measures should be performed.