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CASE REPORT
Neuroborreliosis: the Guillain-Barré mimicker
  1. Niharika Tyagi1,
  2. Tim Maheswaran1,
  3. Sunil Wimalaratna2
  1. 1Kettering General Hospital, Kettering, Northamptonshire, UK
  2. 2Department of Neurology, Kettering General Hospital, Kettering, Northamptonshire, UK
  1. Correspondence to Dr Niharika Tyagi, niharika_tyagi{at}hotmail.co.uk

Summary

A 34-year-old woman presented to the medical admissions unit with progressive ascending weakness of her limbs and areflexia. Diagnosis of Guillain-Barré syndrome was suspected and she was started on intravenous immunoglobulins. Owing to a poor initial response, further exploratory history revealed travel to the New Forest and a possible tick bite; subsequent investigations confirmed positive serology for antibodies against Borrelia. The patient's weakness improved with intravenous ceftriaxone for neuroborreliosis, a manifestation of Lyme disease. With inpatient neurorehabilitation, she made good recovery and was able to mobilise with a stick from being completely bed bound 6 weeks after completion of her antibiotics.

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