An eight-year-old girl with probable Lyme disease in Hong Kong
Chan, K.K.; Ng, D.K.; Chiang, J.W.
Singapore Medical Journal 49(6): e145-e146
2008
ISSN/ISBN: 0037-5675 PMID: 18581005 Document Number: 622238
An eight-year-old girl presented with acute cerebellar syndrome and meningitis. Lumbar puncture showed elevated pressure. Examination of the cerebrospinal fluid showed lymphocytosis, raised protein and decreased glucose. She was initially treated with acyclovir and antituberculosis drugs with partial response. Subsequently, the antibody assay for Borrelia burgdorferi was positive and the antimicrobial regime was changed to ceftriaxone. She made a full recovery with no neurological deficit. A probable diagnosis of Lyme disease was made and the diagnostic approach to Lyme disease is discussed.
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