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| Natura: | Artículo científico |
| Lingua: | en |
| Pubblicazione: |
Hospital San Pedro
2025
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| Accesso online: | https://www.redalyc.org/articulo.oa?id=692082905005 https://www.redalyc.org/journal/6920/692082905005/ https://www.redalyc.org/journal/6920/692082905005/html/ https://www.redalyc.org/journal/6920/692082905005/692082905005.epub https://www.redalyc.org/journal/6920/692082905005/movil |
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Sommario:
- Neuroborreliosis in an immunosuppressed patient Alodia Rodríguez-Nájera María Viguera-Elías Javier Albero-Ortín Sara Lacalle-Navaridas Claudia González-Arregui Medicina Borrelia Neuroborreliosis Immunosuppression Neuroborreliosis is a rare but significant manifestation of Lyme disease, particularly in immunosuppressed individuals. We present the case of a 43-year-old patient with a history of follicular lymphoma in remission, currently undergoing maintenance therapy with Rituximab, who presented with progressive neurological symptoms including peripheral facial paralysis, headache, tremors, and lower back pain. Initial cerebrospinal fluid (CSF) analysis showed lymphocytic pleocytosis, but serological and PCR tests for Borrelia burgdorferi were negative. Given the epidemiological context and clinical presentation, a probable diagnosis of neuroborreliosis was made, with the seronegative results attributed to immunosuppression. The patient responded well to intravenous ceftriaxone with significant clinical improvement. This case highlights the diagnostic challenges of neuroborreliosis in immunosuppressed patients and emphasizes the importance of clinical judgment in the absence of confirmatory laboratory findings. 2025 artículo científico 2695-5075 https://www.redalyc.org/articulo.oa?id=692082905005 https://www.redalyc.org/journal/6920/692082905005/ https://www.redalyc.org/journal/6920/692082905005/html/ https://www.redalyc.org/journal/6920/692082905005/692082905005.epub https://www.redalyc.org/journal/6920/692082905005/movil 10.53986/ibjm.2025.0022 en http://www.redalyc.org/revista.oa?id=6920 Iberoamerican Journal of Medicine application/pdf Hospital San Pedro Iberoamerican Journal of Medicine (España) Num.4 Vol.7