Severe orthostatic hypotension in a diabetic patient may not be due to diabetic autonomic neuropathy

被引：4

作者：

Burman, M. ^{[1
]}

Nguyen, H. L. ^{[1
]}

Murthy, V. ^{[1
]}

Sen Gupta, P. ^{[1
]}

Davies, C. ^{[2
]}

Wragg, A. ^{[2
]}

Peterson, D. ^{[1
]}

Chowdhury, T. A. ^{[1
]}

机构：

[1] Royal London Hosp, Dept Diabet & Metab, London E1 1BB, England

[2] Royal London Hosp, Dept Cardiol, London E1 1BB, England

来源：

CLINICAL MEDICINE | 2011年 / 11卷 / 03期

关键词：

LYME-DISEASE;

D O I：

10.7861/clinmedicine.11-3-290

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This lesson describes an unusual case of a man who was recently diagnosed with type 1 diabetes and who presented with severe orthostatic hypotension. As his diabetes was recent in onset, well controlled, and he had no other signs of microvascular disease, other causes of orthostatic hypotension were sought. His serum and cerebrospinal fluid were strongly positive for Borrelia burgdorferi IgG, suggesting a diagnosis of Lyme neuroborreliosis. Autonomic instability in Lyme, while rare, has been previously reported.

引用

页码：290 / 291

页数：2

共 6 条

[1]

Chatila R, 1998, AM J GASTROENTEROL, V93, P1179, DOI 10.1111/j.1572-0241.1998.00361.x

[2]

DURAY PH, 1989, RHEUM DIS CLIN N AM, V15, P691

[3]

Gila L, 1990, Enferm Infecc Microbiol Clin, V8, P32

[4] Cardiac implications of Lyme disease, diagnosis and therapeutic approach [J].

Lelovas, Pavlos ;

Dontas, Ismene ;

Bassiakou, Eleni ;

Xanthos, Theodoros .

INTERNATIONAL JOURNAL OF CARDIOLOGY, 2008, 129 (01) :15-21

[5] Thoracoabdominal manifestation of Lyme neuroborreliosis, stage II [J].

Pfadenhauer, K ;

Schonsteiner, T ;

Stohr, M .

NERVENARZT, 1998, 69 (04) :296-299

[6] The clinical assessment, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis: Clinical practice guidelines by the infectious diseases society of America [J].

Wormser, Gary P. ;

Dattwyler, Raymond J. ;

Shapiro, Eugene D. ;

Halperin, John J. ;

Steere, Allen C. ;

Klempner, Mark S. ;

Krause, Peter J. ;

Bakken, Johan S. ;

Strle, Franc ;

Stanek, Gerold ;

Bockenstedt, Linda ;

Fish, Durland ;

Dumler, J. Stephen ;

Nadelman, Robert B. .

CLINICAL INFECTIOUS DISEASES, 2006, 43 (09) :1089-1134

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