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10 June 2023: Articles

Diagnostic Dilemma in a Case of Lyme Borreliosis Presenting as Severe Anion Gap Metabolic Acidosis: A Case Report

Unusual clinical course, Challenging differential diagnosis, Rare coexistence of disease or pathology

Lindsey A. Wallace A* , Sarah Cullison A , Jacob Bowdon B , Aditya Shah D , Sumera Ahmad A

DOI: 10.12659/AJCR.939196

Am J Case Rep 2023; 24:e939196

Figure 1. Magnetic resonance imaging of brain with interpretation on day 1 of hospitalization. No regions of restricted diffusion. No acute infarcts. Intracranial magnetic resonance angiography negative and unchanged from prior computed tomography. There are mild/moderate nonspecific white matter changes in the periventricular white matter of both cerebral hemispheres compatible with small vessel ischemic disease or age-related degenerative change.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923