Abstract
Lyme disease is caused by the infection by different species of the genus Borrelia and transmitted by the bite of ticks of the Ixodidae family and its similar. It is responsible for systemic clinical manifestations such as skin and joints lesions, cardiac and neurologic symptoms. Since this disease presents peculiarities concerning the etiologic agent, transmission and diagnosis, and there are no conclusive reports in Brazil about the occurrence of Lyme disease, with the same clinical and laboratory features as in the northern hemisphere, it has been chosen to change the nomenclature in Brazil for Baggio-Yoshinari Syndrome (BYS). It is analyzed in this report a case treated in the Hospital Universitario da Universidade de Sao Paulo who presented exclusively neurological manifestations of the BYS (radiculopathy, facial nerve palsy and cerebelar envolvement) without skin or joint manifestations.
Highlights
Marcos Daniel Saraivaa, Augusto Cezar Santomauro Juniora, Nathalia Pessoa de Barros Simisa, Jairo Degenszajnb, Elizabeth In Myung Kimb
Devemos sempre pensar na Síndrome de Baggio-Yoshinari (SBY) como diagnóstico diferencial frente a um paciente com manifestações neurológicas como radiculite periférica, meningismo ou neurite craniana independente de antecedentes recentes de picada por carrapato ou de manifestações cutâneas ou articulares, tendo em vista que a enfermidade no Brasil pode evoluir com longo período de latência e com recidivas clínicas
Summary
Marcos Daniel Saraivaa, Augusto Cezar Santomauro Juniora, Nathalia Pessoa de Barros Simisa, Jairo Degenszajnb, Elizabeth In Myung Kimb. Por apresentar particularidades quanto ao agente etiológico, transmissão e diagnóstico, e por não existirem no Brasil relatos conclusivos da ocorrência da Doença de Lyme com as características clínico-laboratoriais encontradas no hemisfério norte, foi optado pela mudança da nomenclatura no Brasil para Síndrome de Baggio-Yoshinari (SBY).
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