{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T10:01:35Z","timestamp":1774519295112,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T00:00:00Z","timestamp":1657497600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Nephrology"],"published-print":{"date-parts":[[2022,7,11]]},"abstract":"<jats:p>Introduction. Lyme disease is the most common vector borne disease in the USA caused by the bacterium Borrelia burgdorferi. If untreated, Lyme disease can cause a variety of secondary symptoms often difficult to interpret. Some of the rare manifestations of Lyme disease include SIADH-like syndrome, enteroparesis, and urinary retention. Case Report. A 69-year-old male presented with anorexia and constipation and was found to have hyponatremia. Several days after admission, Bell\u2019s palsy developed and he experienced urinary retention requiring catheterization. Lyme disease was confirmed on serology, and he recalled a rash on his elbow four weeks prior. Ceftriaxone was started and the patient improved; he had multiple bowel movements after receiving laxatives and the Foley catheter was removed; serum sodium normalized with fluid restriction. He was discharged home and was well with symptoms completely resolved at three-month follow-up. Discussion. There should be a high alert of atypical presentation of this common tick bite associated infection. Review of the literature revealed ten similar cases, but only three of these patients were reported to have a combination of SIADH, urinary retention, and enteroparesis.<\/jats:p>","DOI":"10.1155\/2022\/5937131","type":"journal-article","created":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T23:35:14Z","timestamp":1657582514000},"page":"1-4","source":"Crossref","is-referenced-by-count":3,"title":["A Patient with SIADH, Urinary Retention, Constipation, and Bell\u2019s Palsy following a Tick Bite"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6511-6205","authenticated-orcid":true,"given":"Mariana","family":"Leone","sequence":"first","affiliation":[{"name":"Meritus Health, Hagerstown, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9619-5014","authenticated-orcid":true,"given":"Anwar","family":"Iqbal","sequence":"additional","affiliation":[{"name":"Meritus Health, Hagerstown, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8591-4308","authenticated-orcid":true,"given":"J. R.","family":"Hugo Bonatti","sequence":"additional","affiliation":[{"name":"Meritus Health, Hagerstown, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3696-2810","authenticated-orcid":true,"given":"Samina","family":"Anwar","sequence":"additional","affiliation":[{"name":"Meritus Health, Hagerstown, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0250-9401","authenticated-orcid":true,"given":"Catherine","family":"Feaga","sequence":"additional","affiliation":[{"name":"Meritus Health, Hagerstown, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","article-title":"Lyme disease. centers for disease control and prevention (CDC)","author":"CDC","year":"2019"},{"issue":"1","key":"2","doi-asserted-by":"crossref","first-page":"46","DOI":"10.5114\/reum.2015.50557","article-title":"Post-lyme disease syndrome","volume":"53","author":"J. Scieszka","year":"2015","journal-title":"Reumatologia"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1007\/s10096-018-3417-1"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.1998.00361.x"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.12890\/2019_001188"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1002\/ccr3.1494"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-225801"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.5056\/jnm14118"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1080\/20009666.2017.1407209"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2015.02.002"},{"issue":"4","key":"11","first-page":"74","article-title":"Bell\u2019s palsy of the gut and other GI manifestations of lyme and associated diseases","volume":"30","author":"V. Sherr","year":"2006","journal-title":"Practical Gastroenterology"},{"issue":"3","key":"12","first-page":"71","article-title":"Lyme neuroborreliosis presenting as the syndrome of inappropriate antidiuretic hormone secretion","volume":"8","author":"M. P. Perkins","year":"2006","journal-title":"MedGenMed: Medscape General Medicine"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.62.4.671"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/s0003-9993(95)80128-6"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/j.idcr.2018.e00479"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1086\/339871"},{"issue":"5","key":"17","first-page":"365","article-title":"Pseudo-obstruction of the colon following tick bite injury","volume":"60","author":"R. Autschbach","year":"1989","journal-title":"Chirurg"}],"container-title":["Case Reports in Nephrology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/crin\/2022\/5937131.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crin\/2022\/5937131.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/crin\/2022\/5937131.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,7,11]],"date-time":"2022-07-11T23:35:20Z","timestamp":1657582520000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/crin\/2022\/5937131\/"}},"subtitle":[],"editor":[{"given":"David","family":"Mudge","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,7,11]]},"references-count":17,"alternative-id":["5937131","5937131"],"URL":"https:\/\/doi.org\/10.1155\/2022\/5937131","relation":{},"ISSN":["2090-665X","2090-6641"],"issn-type":[{"value":"2090-665X","type":"electronic"},{"value":"2090-6641","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7,11]]}}}