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If this disease is left untreated, infection could spread to the nervous system causing neuroborreliosis, an atypical and complicated manifestation of this disease. We present the case of an atypical papillitis, probably caused by this bacterium. We suspected this because of the results on the indirect test bloods and the improvement of the symptoms after treatment. This entity should be considered as a possible diagnosis of atypical optical neuropathies, particularly if it occurs in an endemic area.<\/jats:p>","DOI":"10.1177\/1120672119855210","type":"journal-article","created":{"date-parts":[[2019,6,6]],"date-time":"2019-06-06T02:55:23Z","timestamp":1559789723000},"page":"NP46-NP52","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Atypical papillitis: An isolated manifestation of Lyme disease"],"prefix":"10.1177","volume":"30","author":[{"given":"Lucia","family":"Mata-Moret","sequence":"first","affiliation":[{"name":"Consorci Hospital General Universitari de Valencia, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Garcia-Villanueva","sequence":"additional","affiliation":[{"name":"Consorci Hospital General Universitari de Valencia, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara","family":"Monferrer-Adsuara","sequence":"additional","affiliation":[{"name":"Consorci Hospital General Universitari de Valencia, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Castro Navarro","sequence":"additional","affiliation":[{"name":"Consorci Hospital General Universitari de Valencia, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrique","family":"Cervera-Taulet","sequence":"additional","affiliation":[{"name":"Consorci Hospital General Universitari de Valencia, Valencia, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,6,5]]},"reference":[{"key":"bibr1-1120672119855210","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198303313081301"},{"key":"bibr2-1120672119855210","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.medcli.2016.01.021","volume":"147","author":"Bonet Alav\u00e9s E","year":"2016","journal-title":"Med Clin"},{"key":"bibr3-1120672119855210","volume-title":"XVIII Congreso SEIMC","author":"Fern\u00e1ndez PV"},{"key":"bibr4-1120672119855210","unstructured":"Yannoff M, Duker JS. 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