Abdominal pain as first manifestation of lyme neuroborreliosis in children, case report and review of literature

Salvatore Savasta, Ivan Fiorito, Thomas Foiadelli, Anna Pichiecchio, Patrizia Cambieri, Bianca Mariani, Piero Marone, Gianluigi Marseglia

Research output: Contribution to journalArticlepeer-review


Background: Lyme neuroborreliosis can cause a variety of neurological manifestations. European children usually present facial nerve palsy, other cranial nerve palsies and aseptic meningitis. Case presentation: We hereby report a case of Lyme neuroborreliosis in a 9-year-old boy with abdominal pain as first symptom and subsequent onset of attention deficit and ataxia. Diagnosis was made by detection of specific antibody in both serum and cerebrospinal fluid with neuro-radiological images suggestive for this infectious disease. A 12-months follow-up was performed during which no relevant neurological sequelae were revealed. Conclusion: This case report shows that abdominal radiculitis, although extremely rare, could be the first manifestation of early Lyme neuroborreliosis in pediatric patients. Pediatricians must consider Lyme disease in the differential diagnosis of abdominal pain of unknown origin in children, especially in countries where the infection is endemic.

Original languageEnglish
Article number172
JournalItalian Journal of Pediatrics
Issue number1
Publication statusPublished - Dec 2020


  • Abdominal pain
  • Lyme disease
  • Lyme neuroborreliosis
  • Radicular pain
  • Radiculitis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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