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Meningoencephalitis from Borrelia Miyamotoi in an Immunocompromised Patient
NEJM 368:240-245, Gugliotta, J.L.,et al, 2013
See this aricle in Pubmed

Article Abstract
We report a case of progressive mental deterioration in an order, immunocompromised patient, and even though Koch�s postulates were not met, we posit B. miyamotoi as the cause, owing to its direct detection in cerebrospinal fluid (CSF) with the use of microscopy and a polymerase-chain-reaction (PCR) assay. It is likely that B. miyamotoi is an underrecognized cause of disease, especially in sites where Lyme disease is endemic.
 
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Borrelia miyamotoi infection
cerebrospinal fluid,elevated protein of
confusion
dementia
dementia,reversible
hypoglycorrhachia
immunosuppression
infection
Massachusetts
meningitis
meningitis,neutrophilic
meningoencephalitis
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pleocytosis of cerebrospinal fluid
polymerase chain reaction
progressive neurologic disorder
spirochete infection
treatment of neurologic disorder
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