BB-OIRE: MASENNUS, HALLUSINAATIOT JNE.

[Bb]

Lähettäjä: Soijuv Lähetetty: 12.2.2006 10:20

Neuroborrelioosi on nykyään yleisimmin mainittu punkkien välittämä keskushermosinfektio Euroopassa ja USA:ssa. Neuroborrelioosin oireina saattaa esiintyä masennusta, paniikkikohtauksia, skitsofreniaa jne. 61-vuotias nainen sairasti vuosien ajan neuroborrelioosia. Hän oli saanut useita antibioottihoitoja, mutta niistä ei ollut mainittavaa hyötyä. Naiselle kehittyi lopulta psyykkisiä oireita ja voimakkaita kipuja jotka paranivat huomattavasti neurolepteillä.


Clin J. Pain. 2005 Jul-Aug;21(4):362-3.

Painful hallucinations and somatic delusions in a patient with the possible diagnosis of neuroborreliosis.

Bar KJ, Jochum T, Hager F, Meissner W, Sauer H.

Department of Psychiatry, Friedrich-Schiller-University of Jena, Jena, Germany. karl-juergen.baer@med.uni-jena.de

Neuroborreliosis has become the most frequently recognized tick-borne infection of the nervous system in Europe and the United States. In addition to dermatological, cardiac, articular, and neurologic manifestations, psychiatric disorders such as depression, panic attacks, and schizophrenia-like psychosis can also arise.

We report on a 61-year-old woman who developed a severe pain syndrome following several tick bites. She was diagnosed with neuroborreliosis; she received various courses of antibiotics over several years, but without any clinical improvement in her condition. Her eventual admission to a psychiatric ward due to mental symptoms and neuroleptic treatment led to a dramatic improvement of her pain symptoms. However, increasing delusions disclosed a psychotic episode, which ceased over time.

We discuss therapeutic difficulties and psychiatric complications in the absence of a clear-cut diagnosis of neuroborreliosis. Although this patient might have suffered from late-onset schizophrenia with painful hallucinations right from the start of her disease, the case highlights psychiatric complications that might be associated with neuroborreliosis.

PMID: 15951656 [PubMed - indexed for MEDLINE]
http://www.ncbi.nlm.nih.gov/entrez/quer ... med_docsum