Fatal course of cerebral vasculitis induced by neuroborreliosis

Published Date
Neurology India
Neurol India. 2010 Jan-Feb;58(1):139-41
Buchwald F
Abul-Kasim K
Tham J
Hansen BU

Borreliosis is a tick-borne illness caused by the spirochete Borrelia and the different causative strains identified include B. burgdorferi sensu strictu in America and B. garinii and B. afzelii in Europe. Clinical manifestations are wide and vary in severity. The disease is divided into three stages: 1) early localized disease characterized by skin lesions (erythema migrans); 2) early disseminated disease characterized by neurologic and/or cardiac involvement; and 3) late disease characterized by arthritis and/or rare neurologic complications. [1],[2] Cerebral vasculitis is a very rare, usually a nonfatal complication. [3],[4],[5] A fatal case of neuroborreliosis complicated by cerebral vasculitis in a young male patient prompted us to present this case.