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Archives de pédiatrie
Volume 10, n° 9
pages 791-793 (septembre 2003)
Doi : 10.1016/S0929-693X(03)00412-3
Received : 20 Mars 2003 ;  accepted : 3 July 2003
Hypertension intracrânienne isolée par maladie de Lyme
Isolated intracranial hypertension due to Lyme's disease

I.  Abadie a ,  E.  Marc b ,  J.  Bursztyn a ,  M.  Assous c ,  D.  Gendrel a *
aService de pédiatrie générale, hôpital Saint-Vincent-de-Paul, Cochin, AP-HP, 74-82, avenue Denfert-Rochereau, 75674 Paris cedex 14, France 
bService d'accueil des urgences pédiatriques, hôpital Saint-Vincent-de-Paul, Cochin, AP-HP, 74-82, avenue Denfert-Rochereau, 75674 Paris cedex 14, France 
cService de bactériologie, hôpital Saint-Vincent-de-Paul, Cochin, AP-HP, 74-82, avenue Denfert-Rochereau, 75674 Paris cedex 14, France 

*Auteur correspondant.
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La borréliose de Lyme est une infection marquée par un grand polymorphisme clinique pouvant retarder le diagnostic. Nous rapportons ici le cas d'une fillette atteinte d'une borréliose de Lyme à la phase aiguë confirmée avec certitude par les sérologies et présentant une forme clinique particulière : l'hypertension intracrânienne isolée. Cette forme clinique peu décrite ne doit pas égarer le diagnostic sous peine de complications graves, telle l'atrophie optique, en l'absence de prise en charge adaptée.

Mots clés  : Lyme (maladie de) ; Hypertension intracrânienne ; Borréliose ; Enfants.

Abstract

Lyme's borreliosis is characterized by the variety of its revealing symptoms, which may explain an often delayed diagnosis. We report on a case of a child affected by Lyme's disease, confirmed by serology, who presented a particular form consisting in an isolated intracranial hypertension. This rare form must be known and diagnosed early in order to avoid serious complications such as optic nerve atrophia in the absence of an appropriate treatment.

Mots clés  : Lyme disease ; Borrelia infections ; Intracranial hypertension ; Child.




© 2003  Éditions scientifiques et médicales Elsevier SAS. All Rights Reserved.

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