When I was in neurology Dept in a Pvt hospital in Delhi, then I came across this case.
A Indian origin pt of age 42 yrs residing in Canada was brought by his family members in critical state on mechanical ventilation, after not having any improvement in his condition even after consulting many doctors there. patient had history of intermittent fever with progressive weakness of all four limbs . He was even unable to speak at that time. At that time , it seems very unlikely that patient will recover. Sets of investigations were sent, plenty of brain and other imaging done. Finally, "Lyme's disease with neurological involvement" was diagnosed. Antibiotics were continued along with other treatment and mechanical ventilation continued. He was on ventilator for about 2 months but he never had 'ventillator associated pneumonia' which is very common complication in these kind of patients
. He stayed there for about 3 months and he recovered well and finally discharged after having tracheostomy (surgical cut in throat for respiration). After 1 month he was seen in OPD in good condition on wheel chair. Later tracheostomy was closed and patientwas doing well. Newspapers also covered that case.
(By-Getinge Group)