Neurogenic Bladder in Lyme Disease.
- Author:
Mi Hwa KIM
1
;
Won Chan KIM
;
Dong Su PARK
Author Information
1. Department of Neurology, CHA Bundang Medical Center, Seongnam, Korea. wckim@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Lyme disease;
Neurogenic urinary bladder;
Urodynamics
- MeSH:
Antibodies;
Blotting, Western;
Borrelia burgdorferi;
Ceftriaxone;
Communicable Diseases;
Deglutition Disorders;
Demyelinating Diseases;
Humans;
Korea;
Lyme Disease;
Paraparesis, Spastic;
Reflex;
Serologic Tests;
Spirochaetales;
Urinary Bladder, Neurogenic;
Urodynamics
- From:International Neurourology Journal
2012;16(4):201-204
- CountryRepublic of Korea
- Language:English
-
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.
