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Case report
Isolated proximal weakness of the legs due to neuroborreliosis
  1. Simone Nibourg1,
  2. Martijn Beudel2 and
  3. Jeroen Trip3
  1. 1Neurology, Maastricht Universitair Medisch Centrum+, Maastricht, The Netherlands
  2. 2Neurology, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands
  3. 3Neurology, Isala Zwolle, Zwolle, The Netherlands
  1. Correspondence to Dr Jeroen Trip; jeroentrip1975{at}gmail.com

Abstract

Proximal muscle weakness of the legs is a symptom with a broad differential diagnosis. It is mainly caused by neuromuscular disorders and is often a diagnostic challenge. Here, we present a 73-year-old man with isolated proximal weakness of the legs due to lumbar root involvement on the basis of neuroborreliosis. After treatment with intravenous antibiotics he recovered completely. This is the first described case with isolated proximal muscle weakness of the legs due to neuroborreliosis. Despite the fact neuroborreliosis is a rare cause of proximal muscle weakness of the legs, clinicians should include it in their differential diagnosis, especially since it is a treatable condition.

  • infection (neurology)
  • muscle disease

http://dx.doi.org/10.1136/bcr-2021-244431

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    Footnotes

    • Contributors SN made the concept and design, discussed planning, sought literature, reported/ drafted the article, acquisition of data, final approvement, agreement accountable for the article. MB has been involved in the patient’s care of this case, revised the article critically, analysis and interpretation of data, final approve ment, agreement accountable for the article. JT has been involved in the patient’s care of this case, came with the idea, first concept in mind, revised the article critically, analysis and interpretation of data, final approvement, agreement accountable for the article.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.