Abstract
IntroductionLyme disease typically presents with viral-like symptoms and a pathognomonic rash. With disease progression, symptoms of nervous system involvement usually include facial nerve palsy and meningitis, but other atypical neurologic manifestations have less commonly been documented.Case ReportA six-year-old male presented with prolonged fevers, rash, headache, and non-specific neurologic symptoms. The diagnosis of neuroborreliosis with meningitis and polyradiculitis was confirmed with laboratory evaluation and lumbar puncture.ConclusionNeuroborreliosis is a disseminated form of Lyme disease. While meningitis is a common sign, the presentation of polyradiculitis in children is rare and can lead to misdiagnosis and delay in treatment.
Highlights
Lyme disease typically presents with viral-like symptoms and a pathognomonic rash
The diagnosis of neuroborreliosis with meningitis and polyradiculitis was confirmed with laboratory evaluation and lumbar puncture
We present a case of a six-year-old-male who was evaluated for prolonged fevers associated with multiple other systemic and neurologic symptoms
Summary
Lyme disease typically presents with viral-like symptoms and a pathognomonic rash. Symptoms of nervous system involvement usually include facial nerve palsy and meningitis, but other atypical neurologic manifestations have less commonly been documented. Case Report: A six-year-old male presented with prolonged fevers, rash, headache, and nonspecific neurologic symptoms. The diagnosis of neuroborreliosis with meningitis and polyradiculitis was confirmed with laboratory evaluation and lumbar puncture
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