Temporal arteritis associated with Borrelia infection. A case report

J Clin Neuroophthalmol. 1989 Mar;9(1):3-6. doi: 10.3109/01658108909019502.


A 71-year-old man had sudden vision loss associated with headache. A temporal artery biopsy revealed a typical picture of giant cell arteritis. Subsequent steroid therapy failed to restore sight. A later blood culture contained spirochetes compatible with Borrelia species, and a silver stain of the temporal artery biopsy specimen demonstrated a similar spirochete. Treatment with i.v. ceftriaxone sodium led to some limited return of sight. To our knowledge, this is the first case report of a spirochete compatible with Borrelia found in a temporal artery biopsy specimen.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Borrelia / isolation & purification
  • Borrelia Infections*
  • Giant Cell Arteritis / etiology*
  • Giant Cell Arteritis / pathology
  • Humans
  • Lyme Disease / pathology
  • Male
  • Visual Acuity
  • Visual Fields