We describe the case of a 61-year-old woman diagnosed with Borreliosis at the age of 57. Subsequently, the patient developed depression, anxiety, and behavioral disturbances. A lumbar puncture excluded the condition of Neuroborreliosis. The diagnostic workup included: an MRI scan, a 18 F-FDG PET, a 123 I-ioflupane-SPECT, an amyloid-β PET, a specific genetic analysis, and a neuropsychological evaluation. Based on our investigation, the patient was diagnosed with probable behavioral-frontotemporal dementia (bvFTD), whereas in the previous years, the patient had been considered firstly as a case of Post-Treatment-Lyme Disease and, secondly, a psychiatric patient. We believe that, in the present case, such initial symptoms of Borrelia infection may have superimposed on those of bvFTD rather than playing as a contributory cause.
Frontotemporal dementia misdiagnosed for post-treatment lyme disease syndrome or vice versa? A Treviso dementia (TREDEM) registry case report / M.E. Di Battista, C. Dell'Acqua, L. Baroni, C. Fenoglio, D. Galimberti, M. Gallucci. - In: JOURNAL OF ALZHEIMER'S DISEASE. - ISSN 1387-2877. - 66:2(2018), pp. 445-451. [10.3233/JAD-180524]
Frontotemporal dementia misdiagnosed for post-treatment lyme disease syndrome or vice versa? A Treviso dementia (TREDEM) registry case report
C. Fenoglio;D. Galimberti;
2018
Abstract
We describe the case of a 61-year-old woman diagnosed with Borreliosis at the age of 57. Subsequently, the patient developed depression, anxiety, and behavioral disturbances. A lumbar puncture excluded the condition of Neuroborreliosis. The diagnostic workup included: an MRI scan, a 18 F-FDG PET, a 123 I-ioflupane-SPECT, an amyloid-β PET, a specific genetic analysis, and a neuropsychological evaluation. Based on our investigation, the patient was diagnosed with probable behavioral-frontotemporal dementia (bvFTD), whereas in the previous years, the patient had been considered firstly as a case of Post-Treatment-Lyme Disease and, secondly, a psychiatric patient. We believe that, in the present case, such initial symptoms of Borrelia infection may have superimposed on those of bvFTD rather than playing as a contributory cause.File | Dimensione | Formato | |
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