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2020

ANUÁRIO DO HOSPITAL
DONA ESTEFÂNIA

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BORRELIA LUSITANIAE INFECTION MIMICKING HEADACHE, NEUROLOGIC DEFICITS, AND CEREBROSPINAL FLUID LYMPHOCYTOSIS

José Pedro Vieira1, Maria João Brito2, Isabel Lopes de Carvalho3

1 - Serviço de Neurologia Pediátrica, Área da Mulher, Adolescente e Criança, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa
2 - Unidade de Infecciologia, Departamento de Pediatria, Área da Mulher, Adolescente e Criança, Hospital Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Lisboa
3 - Departamento de Doenças Infecciosas, Instituo Nacional de Saúde, Lisboa

- Journal of Child Neurology 2019 Oct; 34 (12): 748-750

Abstract: Headache with neurologic deficits and cerebrospinal fluid lymphocytosis (HaNDL) is a rare headache syndrome included in the Classification of Headache of the International Headache Society as a “headache attributed to non-infectious inflammatory intracranial disease.” We report one 15-year-old patient with clinical history and cerebrospinal fluid findings compatible with the diagnosis of HaNDL in whom Borrelia lusitaniae was identified in cerebrospinal fluid by polymerase chain reaction.

Keywords: Autoimmune; Encephalitis; Headache; Meningitis