Abstract
Central nervous system (CNS) infections constitute a significant
etiology of seizures. However, the likelihood of such infections is
contingent upon factors such as age, immunological status, and
geographic region. Borrelia burgdorferi , a Spirochaete, is
responsible for the infectious etiology of seizures in Lyme disease. The
case under consideration pertains to a patient who exhibited seizures as
the initial manifestation of neuroborreliosis. A male patient, aged 55,
was admitted to the emergency department due to the sudden onset of
tonic-clonic seizures. All standard laboratory examinations yielded
unremarkable outcomes, except a favorable Wright and 2-mercaptoethanol
test. The examination of cerebrospinal fluid revealed the presence of
380 white blood cells per milliliter. Additionally, the protein level
was elevated, while the glucose level was within the normal range. The
results of the serologic tests indicated the presence of both IgG and
IgM antibodies to B. burgdorferi . Following the administration of
ceftriaxone, a significant improvement was observed in the patient’s
medical status, and he was subsequently discharged.
Keywords: Central Nervous System Infections; Borrelia
Infections; Lyme Neuroborreliosis