A 53-year-old man presented with bilateral foot drop. His lower-extremity weakness predominantly affected the distal
right limb. He presented hypercreatine kinasemia and high antibody titer for Borrelia species (spp). The nerve conduction
study and needle electromyography suggested active neurogenic findings, indicating motor neuropathy. The gastrocnemius
muscle biopsy showed scattered fiber necrosis and inflammatory cell infiltration, representing myositis. After administration of minocycline, Borrelia spp antibodies became negative. Symptoms gradually improved with repeated intravenous immunoglobulin administration.
This is a very rare case of post-Lyme disease syndrome involving motor neuropathy
and myositis, which represents an immune-mediated reaction to Borrelia spp infection./bit.ly/2IGogCC
Post Edited (mpost) : 5/22/2018 5:45:20 AM (GMT-6)