2012 issue 1

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Volume 21, issue 1

Case report

Neuroborreliosis or schizophrenia coexisting with a neuroinfectious disease – case report

Maciej Wójcik1, Beata Trędzbor1, Krzysztof Kucia1, Mariusz Hendel1, Ewa Karmińska1
1. Katedra i Klinika Psychiatrii i Psychoterapii, Śląski Uniwersytet Medyczny, Katowice
Postępy Psychiatrii i Neurologii 2012; 21(1): 63–65
Keywords: paranoid syndrome, neuroborreliosis, diagnostic difficulties

Abstract

Objective. A case is presented of paranoid syndrome with diagnostic diffi culties concerning etiopathogenesis, and particularly – suspected neuroborreliosis.
Case report. In a 29-year-old patient with paranoid syndrome neuroborreliosis was suspected since his disorder had been resistant to neuroleptic treatment and neurological symptoms developed. Laboratory tests confi rmed the presence of the IgG and IgM antibodies against Borrelia burgdorferi. His pharmacotherapy was modifi ed with a good clinical outcome.
Commentary. The clinical picture of paranoid syndrome with concomitant flu-like symptoms and/or neurological disorders suggests a potential neuroinfection with Borrelia burgdorferi, therefore diagnostic tests should be performed for neuroborreliosis.

Address for correspondence:
Dr Maciej Wójcik
Katedra i Klinika Psychiatrii i Psychoterapii Śląskiego Uniwersytetu Medycznego
ul. Ziołowa 45/47, 40-635 Katowice
tel. 32 359 80 11