{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T07:23:46Z","timestamp":1770535426316,"version":"3.49.0"},"reference-count":11,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2020,10,26]],"date-time":"2020-10-26T00:00:00Z","timestamp":1603670400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Lyme disease typically presents with viral-like symptoms and a pathognomonic rash. With disease progression, symptoms of nervous system involvement usually include facial nerve palsy and meningitis, but other atypical neurologic manifestations have less commonly been documented. \n\nCase Report: A six-year-old male presented with prolonged fevers, rash, headache, and non-specific neurologic symptoms. The diagnosis of neuroborreliosis with meningitis and polyradiculitis was confirmed with laboratory evaluation and lumbar puncture.\n\nConclusion: Neuroborreliosis is a disseminated form of Lyme disease. While meningitis is a common sign, the presentation of polyradiculitis in children is rare and can lead to misdiagnosis and delay in treatment.<\/jats:p>","DOI":"10.5811\/cpcem.2020.9.48688","type":"journal-article","created":{"date-parts":[[2020,11,17]],"date-time":"2020-11-17T06:14:29Z","timestamp":1605593669000},"page":"671-674","source":"Crossref","is-referenced-by-count":2,"title":["A Noteworthy Case Report of Neuroborreliosis in an Unvaccinated Pediatric Patient"],"prefix":"10.5811","volume":"4","author":[{"given":"Amber","family":"Walker","sequence":"first","affiliation":[{"name":"Doctors Hospital, Department of Emergency Medicine, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresita","family":"Morales-Yurick","sequence":"additional","affiliation":[{"name":"Doctors Hospital, Department of Emergency Medicine, Columbus, Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2020,10,26]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Marques AR. Lyme Neuroborreliosis. Continuum (Minneap Minn). 2015;21(6):1729-44.","DOI":"10.1212\/CON.0000000000000252"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Esposito S, Bosis S, Sabatini C, et al. Borrelia burgdorferi infection and Lyme disease in children. Int J Infect Dis. 2013;17(3):153-8.","DOI":"10.1016\/j.ijid.2012.09.014"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Skogman BH, Croner S, Nordwall M, et al. Lyme neuroborreliosis in children: a prospective study of clinical features, prognosis, and outcome. Pediatr Infect Dis J. 2008;27(12):1089-94.","DOI":"10.1097\/inf.0b013e31817fd423"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Pachner AR. Early disseminated Lyme disease: Lyme meningitis. Am J Med. 1995;98(4A):30S-43S.","DOI":"10.1016\/s0002-9343(99)80042-4"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Baumann M, Birnbacher R, Koch J, et al. Uncommon manifestations of neuroborreliosis in children. Eur J Paediatr Neuro. 2010;14(3):274-7.","DOI":"10.1016\/j.ejpn.2009.08.003"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Ewers EC, Dennison DH, Stagliano DR. A unique case of adolescent neuroborreliosis presenting with multiple cranial neuritis and cochlear inflammation on magnetic resonance imaging. Pediatr Neurol. 2015;52(1):107-9.","DOI":"10.1016\/j.pediatrneurol.2014.10.009"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Roaldsnes E, Eikeland R, Berild D. Lyme neuroborreliosis in cases of non-specific neurological symptoms. Tidsskr Nor Laegeforen. 2017;137(2):101-4.","DOI":"10.4045\/tidsskr.15.1115"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Miller MM, M\u00fcllegger RR, Spork KD, et al. Lyme borreliosis of central nervous system (CNS) in children: a diagnostic challenge. Infection. 1991;19(4):273-8.","DOI":"10.1007\/bf01644966"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Vukelic D, Bozinovic D, Morovic M, et al. Opsoclonus-myoclonus syndrome in a child with neuroborreliosis. J Infect. 2000;40(2):189-91.","DOI":"10.1016\/s0163-4453(00)80016-x"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Halperin JJ, Logigian EL, Finkel MF, et al. Practice parameters for the diagnosis of patients with nervous system Lyme borreliosis (Lyme disease). Neurology. 1996;46(3):619-27.","DOI":"10.1212\/wnl.46.3.619"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Wormser GP, Dattwyler RJ, Shapiro ED, et al. The clinical assessment, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America. Clin Infect Dis. 2006;43(9):1089-134.","DOI":"10.1086\/508667"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2020,11,19]],"date-time":"2020-11-19T20:58:17Z","timestamp":1605819497000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/1wq8m668"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,26]]},"references-count":11,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"4","published-online":{"date-parts":[[2020,11,10]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2020.9.48688","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,26]]}}}