Reinfection with Lyme borreliosis presenting as a painful polyradiculopathy: Ban

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_http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2077394/_

(http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2077394/)

 

Reinfection with Lyme borreliosis presenting as a painful

polyradiculopathy: Bannwarth's, Beevor's and Borrelia

 

 

This case serves to underscore several clinical points. Firstly, Lyme

borreliosis may present by mimicking a malignancy. Secondly, a previous episode

of borrelial infection may not confer immunity. Reinfection is uncommon,

but is more likely to occur in patients whose previous episode was promptly

treated rather than in those with longstanding infection, who have a wellâ€

developed antibody response before treatment.5 Thirdly, patients may not

specifically recall a tick bite. Thus, it is important that a history of tick

exposure risk, which may be residential, occupational or recreational, is

sought from patients. Finally, Beevor's sign has a useful localisation value