부산대학교 도서관

Lyme disease is caused most frequently by Borrelia burgdorferi. The nervous system is the third most common site of involvement for Borrelia infections, and 10% to 15% of patients with Lyme disease have neurologic involvement. Lyme disease that is associated with the triad of lymphocytic meningitis, cranial neuropathy, and radiculoneuritis is termed Bannwarth syndrome. Lyme disease serologic testing consists of 2-tiered antibody testing that starts with an enzyme immunoassay and, if positive or indeterminate, is followed by a confirmatory immunoglobulin M and G Western blot for antibodies against B burgdorferi to increase the specificity of initial testing. Treatment consists of intravenous ceftriaxone or doxycycline.