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Neuroborreliose bij kinderen, herkenning en diagnostiek

Tijdschrift voor Kindergeneeskunde, ISSN: 0376-7442, Vol: 77, Issue: 2, Page: 80-83
2009
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Article Description

Three children were diagnosed with neuroborreliosis, all presented with atypical headache and systemic symptoms. They were diagnosed with neuroborreliosis based on the clinical picture and serology. Ceftriaxon treatment for 14 days cured all three patients. After erythema migrans, Lyme borreliosis presents most commonly as neuroborreliosis. In children, atypical headache and peripheral facial pareses often are the first and main symptoms. This can be accompanied by aseptical meningitis, fever and nonspecific symptoms such as tiredness and stiffness. Serology for Borrelia (IgG and IgM) should be requested when neuroborreliosis is suspected. Intrathecal antibodies and the ratio of serum- to intrathecal antibody titres help making the diagnosis of neuroborreliosis.

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