10 June 2023
: Case report 
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. Wallace1ABDEF*, Sarah Cullison1AE, Jacob Bowdon1BCDEF, Aditya Shah2DE, Sumera Ahmad3ADEFDOI: 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.