Definite neuroborreliosis with atypical antibody-profiles: a case report
Ingerid Skarstein·Elling Ulvestad·Steffan D. Bos·Unn Ljøstad·Åslaug Rudjord Lorentzen·Åse Mygland·Hanne Quarsten·Randi Eikeland·Anne Marit Solheim·Harald Reiso
Our cases demonstrate that Lyme neuroborreliosis patients with symptom duration for several weeks and a well-functioning immune system can present with atypical antibody profiles. Consequently, we suggest that in cases with pleocytosis and symptoms compatible with Lyme neuroborreliosis but negative Borrelia burgdorferi antibody index, one should consider supplementary laboratory testing to confirm the diagnosis.