Neurogenic Bladder in Lyme Disease / 대한배뇨장애요실금학회지
International Neurourology Journal
;
: 201-204, 2012.
Artigo
em Inglês
| WPRIM
| ID: wpr-209785
ABSTRACT
Lyme disease is a multi-systemic, tick-borne infectious disease caused by a spirochete, Borrelia burgdorferi. Various urologic symptoms are associated with Lyme disease, which can be primary or late manifestations of the disease. Although voiding dysfunction is a rarely reported symptom in patients with Lyme disease, it is one of the most disabling complications of Lyme disease. Korea is not an endemic area of Lyme disease, thus, fewer cases have been reported. Herein, we report a case of a 32-year-old man with rapidly progressive bilateral ptosis, dysphagia, spastic paraparesis, and voiding difficulty in whom Lyme disease was diagnosed through serologic tests for antibodies and Western blot testing. A urodynamic study demonstrated detrusor areflexia and bulbocavernosus reflex tests showed delayed latency, indicating demyelination at S2-S4 levels. He received a 4-week course of intravenous ceftriaxone (2 g/day). The patient has recovered from the bilateral ptosis and spastic paraparesis but still suffers from neurogenic bladder.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Reflexo
/
Spirochaetales
/
Urodinâmica
/
Bexiga Urinaria Neurogênica
/
Ceftriaxona
/
Doença de Lyme
/
Testes Sorológicos
/
Transtornos de Deglutição
/
Western Blotting
/
Doenças Transmissíveis
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Inglês
Revista:
International Neurourology Journal
Ano de publicação:
2012
Tipo de documento:
Artigo
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