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Cerebrospinal fluid demonstrated a lymphocytic pleocytosis. An elevated <jats:italic>Borrelia burgdorferi<\/jats:italic> antibody index confirmed a diagnosis of Lyme neuroborreliosis. The patient was treated successfully with 28 days of intravenous ceftriaxone, analgesia and physiotherapy. Within the literature, Lyme radiculopathy is a common presentation of neuroborreliosis and should be considered and investigated in patients without radiological evidence of a mechanical cause of worsening lower back pain in settings with endemic Lyme disease.<\/jats:p>","DOI":"10.1136\/bcr-2022-251982","type":"journal-article","created":{"date-parts":[[2023,6,3]],"date-time":"2023-06-03T00:55:18Z","timestamp":1685753718000},"page":"e251982","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":3,"title":["Lyme radiculopathy in a septuagenarian"],"prefix":"10.1136","volume":"16","author":[{"given":"Iona","family":"McKenzie","sequence":"first","affiliation":[{"name":"Orthopaedics, NHS Forth Valley, Larbert, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elan Micha","family":"Tsarfati","sequence":"additional","affiliation":[{"name":"Microbiology, NHS Forth Valley, Larbert, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,6,2]]},"reference":[{"key":"2025082801221516000_16.6.e251982.1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-025916","article-title":"Incidence of Lyme disease in the UK: a population-based cohort study","volume":"9","author":"Cairns","year":"2019","journal-title":"BMJ Open"},{"key":"2025082801221516000_16.6.e251982.2","unstructured":"Lindgren E , Jaenson TGT . 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