Neurogenic Bladder in Lyme Disease
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...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Korean Continence Society
2012-12-01
|
Series: | International Neurourology Journal |
Subjects: | |
Online Access: | http://www.einj.org/upload/pdf/inj-16-4-201-8.pdf |
id |
doaj-25865991da05470fa3f4af17fddffdda |
---|---|
record_format |
Article |
spelling |
doaj-25865991da05470fa3f4af17fddffdda2020-11-24T22:04:08ZengKorean Continence SocietyInternational Neurourology Journal2093-47772093-69312012-12-0116420120410.5213/inj.2012.16.4.20195Neurogenic Bladder in Lyme DiseaseMi-hwa Kim0Won Chan Kim1Dong-Su Park2 Department of Urology, CHA Bundang Medical Center, Seongnam, Korea. Department of Urology, CHA Bundang Medical Center, Seongnam, Korea. Department of Urology, CHA Bundang Medical Center, Seongnam, Korea.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.http://www.einj.org/upload/pdf/inj-16-4-201-8.pdfLyme diseaseNeurogenic urinary bladderUrodynamics |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mi-hwa Kim Won Chan Kim Dong-Su Park |
spellingShingle |
Mi-hwa Kim Won Chan Kim Dong-Su Park Neurogenic Bladder in Lyme Disease International Neurourology Journal Lyme disease Neurogenic urinary bladder Urodynamics |
author_facet |
Mi-hwa Kim Won Chan Kim Dong-Su Park |
author_sort |
Mi-hwa Kim |
title |
Neurogenic Bladder in Lyme Disease |
title_short |
Neurogenic Bladder in Lyme Disease |
title_full |
Neurogenic Bladder in Lyme Disease |
title_fullStr |
Neurogenic Bladder in Lyme Disease |
title_full_unstemmed |
Neurogenic Bladder in Lyme Disease |
title_sort |
neurogenic bladder in lyme disease |
publisher |
Korean Continence Society |
series |
International Neurourology Journal |
issn |
2093-4777 2093-6931 |
publishDate |
2012-12-01 |
description |
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. |
topic |
Lyme disease Neurogenic urinary bladder Urodynamics |
url |
http://www.einj.org/upload/pdf/inj-16-4-201-8.pdf |
work_keys_str_mv |
AT mihwakim neurogenicbladderinlymedisease AT wonchankim neurogenicbladderinlymedisease AT dongsupark neurogenicbladderinlymedisease |
_version_ |
1725830289298554880 |