داء بوريليا لايم العصبي المبكر: الأعراض العصبية المستمرة بعد العلاج الأولي بالمضادات الحيوية

References

DOI: 10.3205/000349

• Early Lyme neuroborreliosis: Symptoms can last weeks to months
• Neurological symptoms appear several weeks to several months after a tick bite
• Typical manifestations: painful meningopolyradiculitis of the spinal nerves in connection with unilateral or bilateral facial paresis (Bannwarth syndrome); also meningitis in children
• If a patient continues to have impairing symptoms 6 months after treatment, CSF testing should be repeated; if there are doubts that the symptoms are improving, an earlier CSF follow-up analysis can be considered; if pleocytosis persists, a new course of antibiotic treatment should be carried out after other diagnoses have been ruled out.