Clinical Case Database / Category: Patient Management
Sudden onset headache in a Lyme patient
Publication details
Dr Prem Bajaj, MBBS, MD, M Med Sci, MSc, PhD
Foundation Years Journal, volume 7, issue 8, p.26 (123Doc Education, London, August 2013)
Abstract
This case study discusses a 55-year-old woman who presented with sudden headache. The patient was diagnosed with Lyme disease using the Western Blot IgM and IgG that showed positive band 41 kDa (Kilodalton) for Borrelia. She was treated with the antibiotic cefuroxime axetil, 500 mg orally twice daily for four weeks following which the headache disappeared.
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Authors
Dr Prem Bajaj, MBBS, MD, M Med Sci, MSc, PhD (Corresponding author)
Private Medical Practitioner, Lyme Disease Physician, Greater London
and also Medical Director, Modern Health Ltd, 114 Kingshill Avenue,
Northolt, UB5 6LQ
prem56@yahoo.com
References
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7. Brinck T, Hansen K, Olesen J. Headache resembling tension-type headache as the single manifestation of Lyme neuroborreliosis. Cephalalgia.1993;13(3):207-9.
8. Moses JM, Riseberg RS, Mansbach JM. Lyme disease presenting with persistent headache. Pediatrics. 2003;112(6 Pt 1):e477-9.
9. Rothermel H, Hedges TR 3rd, Steere AC. Optic neuropathy in children with Lyme disease. Pediatrics. 2001;108(2):477-81.
10. Wolanska-Klimkiewicz E, Szymanska J, Bachanek T. Orofacial symptoms related to borreliosis—case report. Ann Agric Environ Med. 2010;17(2):319-21.
11. Aucott J, Morrison C, Munoz B, Rowe PC, Schwarzwalder A, West SK. Diagnostic challenges of early Lyme disease: lessons from a community case series. BMC Infect Dis. 2009;79.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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