Premium
Pain as presenting symptom in Lyme neuroborreliosis
Author(s) -
Dotevall Leif,
Eliasson Tore,
Hagberg Lars,
Mannheimer Clas
Publication year - 2003
Publication title -
european journal of pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.305
H-Index - 109
eISSN - 1532-2149
pISSN - 1090-3801
DOI - 10.1016/s1090-3801(02)00121-0
Subject(s) - neuroborreliosis , lyme neuroborreliosis , medicine , paresis , doxycycline , lyme disease , lyme , borrelia burgdorferi , anesthesia , surgery , antibiotics , virology , antibody , microbiology and biotechnology , immunology , biology
Neurogenic pain with radiculitis is often the starting symptom in adult patients with tick‐borne Lyme neuroborreliosis and in some cases the only clinical manifestation. Cranial paresis and other neurologic signs usually occur after the onset of pain. The present paper describes four patients who had severe pain as the main presenting symptom of Lyme neuroborreliosis. Opioids had good short‐term effect in two of the cases. Oral doxycycline treatment was used successfully to eliminate the infection.