Lyme disease presenting as recurrent acute meningitis

Abstract

The neurological manifestations of Lyme disease have been increasingly recognised in Britain,Muhlemann and Wright identifying 21 cases with such symptoms last year in the United Kingdom and Irish Republic.The usual neurological manifestations are fluctuating symptoms of meningoencephalitis with superimposed cranial or peripheral radiculopathy, but although these features are often intermittent, the duration of meningitic symptoms is more like that of chronic meningitis. We report on a patient with Lyme disease who presented with recurrent acute meningitis and no history of tick bite, cutaneous eruptions, or other systemic symptoms. © 1987, British Medical Journal Publishing Group. All rights reserved.