Radicular Back and Abdominal Pain with Ileus, Rash, and SIADH in Lyme Neuroborreliosis

Authors

• Joyce Y. Quon, Yale School of Medicine, New Haven, Connecticut, USAFollow
• Roberta Delvy, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA
• Kelly Goo, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA
• Maureen Haque, Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut, USA
• Sarita Soares, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA
• Donna M. Windish, Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA

Abstract

Lyme disease is the most common tick-borne disease in the United States. Lyme neuroborreliosis occurs when systemic infection leads to neurologic involvement. Neuroborreliosis presents with a wide spectrum of clinical manifestations but classically presents with facial nerve palsy. Here, we present a case with a rare constellation of symptoms including radicular back and abdominal pain, ileus, rash, and SIADH due to Lyme disease with suspected neuroborreliosis. This case highlights the importance of recognizing atypical presentations of Lyme disease, especially for patients in Lyme endemic areas.

Recommended Citation

Quon, Joyce Y.; Delvy, Roberta; Goo, Kelly; Haque, Maureen; Soares, Sarita; and Windish, Donna M. (2026) "Radicular Back and Abdominal Pain with Ileus, Rash, and SIADH in Lyme Neuroborreliosis," Journal of Community Hospital Internal Medicine Perspectives: Vol. 16: Iss. 5, Article 24.
DOI: https://doi.org/10.55729/2000-9666.1641
Available at: https://scholarlycommons.gbmc.org/jchimp/vol16/iss5/24

DOI

10.55729/2000-9666.1641