Biol Psychiatry. 1999 Mar 15;45(6):795.

Borrelia burgdorferi central nervous system infection presenting as an organic schizophrenialike disorder.

Hess A, Buchmann J, Zettl UK, Henschel S, Schlaefke D, Grau G, Benecke R.

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Department of Neurology, University of Rostock, Germany.

Abstract

BACKGROUND:

We report on a 42-year-old female patient who presented with a schizophreniform disorder and complete relief of symptoms after specific therapy.

METHODS:

Cerebrospinal fluid and magnetic resonance imaging findings led to the diagnosis of Lyme disease.

RESULTS:

To our knowledge this is the first reported case with an exclusive psychiatric manifestation of Lyme disease.

CONCLUSIONS:

In case of first manifestation of psychotic disorder, although neurological symptoms are lacking, Lyme disease should be considered and be excluded by cerebrospinal fluid analysis.

PMID:: 10188012; [PubMed - indexed for MEDLINE]

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