Lähettäjä: Soijuv Lähetetty: 27.3.2006 7:38
Akuuttia borrelioosia sairastava 61-vuotias mies.
Oireet: kasvohermohalvaus ja suoliston tukkeuma.
Intestinal pseudoobstruction in acute Lyme disease: a case report. Chatila R, Kapadia CR Am J Gastroenterol 1998 Jul;93(7):1179-80 Department of Medicine, Yale University School of Medicine, New Haven, Connecticut 06520-8019, USA.
Abstract: We report here a case of acute Lyme disease in a 61-yr-old man who developed a facial nerve paralysis and a relentless intestinal pseudoobstruction 2 wk after the initial prodrome. Both the facial nerve paralysis and pseudoobstruction persisted for a month until the patient sought medical attention. Both lesions resolved only after treatment for Lyme disease was initiated. The temporal association of the pseudoobstruction with the somatic cranial neuropathy and the response of both to specific therapy for Lyme disease suggest that the former was likely the result of a reversible autonomic neuropathy or dysfunction.
Keywords: Anti-Inflammatory Agents, Steroidal, THERAPEUTIC USE, Antibiotics, Tetracycline, THERAPEUTIC USE, Autonomic Nervous System Diseases, ETIOLOGY, THERAPY, Case Report, Doxycycline, THERAPEUTIC USE, Facial Paralysis, ETIOLOGY, THERAPY, Follow-Up Studies, Glucocorticoids, Synthetic, THERAPEUTIC USE, Human, Intestinal Pseudo-Obstruction, ETIOLOGY, THERAPY, Lyme Disease, COMPLICATIONS, DRUG THERAPY, Male, Middle Age, Prednisone, THERAPEUTIC USE Language: Eng Unique ID: 98336106
BB-OIRE: SUOLISTON TUKKEUMA
Valvojat: Jatta1001, Borrelioosiyhdistys, Bb