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Journal

2013 | 8 | 4 | 463-467

Article title

Borreliosis presenting as autonomic nervous dysfunction, phrenic nerve palsy with respiratory failure and myocardial dysfunction - a case report

Content

Title variants

Languages of publication

EN

Abstracts

EN
Unrecognized and untreated Borrelia infection can progress from localized inflammation (erythema migrans) to early or late generalized stage within weeks to months. Meningoradiculitis, arthritis, multiple erythemas, myositis, and myocarditis of the early generalized stage have a good prognosis after antibiotic treatment, but late manifestations can progress to chronic disease. Phrenic nerve palsy, autonomic nervous system dysfunction and carditis with acute heart failure are among rare manifestations as well as late generalised stage with myelitis. We present a case of a patient with meningoradiculitis, autonomic nervous dysfunction, respiratory failure due to phrenic nerve palsy and acute heart failure with systolic myocardial dysfunction. The diagnosis of Borrelia infection was confirmed by positive serological testing, appropriate response to antibiotic therapy and exclusion of other diseases. Our case suggests that in unexplained respiratory failure and acute systolic myocardial dysfunction, particularly associated with signs of meningoradiculitis, Borrelia infection should be included in the differential diagnosis.

Publisher

Journal

Year

Volume

8

Issue

4

Pages

463-467

Physical description

Dates

published
1 - 8 - 2013
online
12 - 6 - 2013

Contributors

  • Department of Medical Intensive Care, University medical centre Maribor, Ljubljanska 5, SI-2000, Maribor, Slovenia
  • Department of Medical Intensive Care, University medical centre Maribor, Ljubljanska 5, SI-2000, Maribor, Slovenia

References

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Document Type

Publication order reference

Identifiers

YADDA identifier

bwmeta1.element.-psjd-doi-10_2478_s11536-013-0172-7
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