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Constipation Heralding Neuroborreliosis
An Atypical Tale of 2 Patients
Ejaz A. Shamim, MS, MD;
Sadat A. Shamim, MD;
Gordon Liss, BS;
Eric Nylen, MD;
Jonathan H. Pincus, MD;
Manuel Yepes, MD
Arch Neurol. 2005;62:671-673.
This is a report of 2 patients with Lyme disease who initially presented with severe constipation, which progressed to ascending muscular weakness resembling acute idiopathic polyneuritis, with neuropsychiatric symptoms, severe urinary retention, and hyponatremia. These symptoms resolved following proper antibiotic therapy.
Author Affiliations: Department of Neurology, Georgetown University Medical Center (Drs E. A. Shamim, S. A. Shamim, Pincus, and Mr Liss); and Departments of Endocrinology (Dr Nylen) and Neurology (Dr Pincus), Veterans Affairs Medical Center, Washington, DC; and Department of Neurology, Emory University School of Medicine, Atlanta, Ga (Dr Yepes).
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