This is the Clinical Pathology Case of the Month for March, 1996.
Contributed by Lisa Kohler, MD and Robert Kelly, PhD
Published on line in March 1996
This 22 year old male college student from western Pennsylvania was seen by a neurologist in late 1994 with a 3 1/2 year history of vague complaints of lower extremity numbness and new onset right arm/hand weakness. A Lyme titer was strongly positive and confirmed by Western blot in the spring of 1995. Intravenous Rocephin therapy was instituted and the patient showed neurologic improvement. He presented in 3/96 for an additional work-up of deep white matter lesions recently identified on MRI.