Int Neurourol J.  2012 Dec;16(4):201-204.

Neurogenic Bladder in Lyme Disease

Affiliations
  • 1Department of Neurology, CHA Bundang Medical Center, Seongnam, Korea. wckim@cha.ac.kr
  • 2Department of Urology, CHA Bundang Medical Center, Seongnam, Korea.

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.

Keyword

Lyme disease; Neurogenic urinary bladder; Urodynamics

MeSH Terms

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
Antibodies
Ceftriaxone
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