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Disseminated Lyme Disease Presenting as Urinary Retention and Acute Renal Failure

Natalie Torres and Mindy Dickerman

Lyme disease may affect the central and peripheral nervous system. Neuroborreliosis typically causes meningoencephalitis, meningoradiculitis, and cranial neuritis. However, neuroborreliosis may rarely affect the autonomic nervous system. There are case reports of neuroborreliosis causing intestinal pseudo-obstruction and acute urinary retention from detrusor dysfunction in adults with Lyme positive serology. To our knowledge, urinary retention from Lyme disease has not been previously reported in the pediatric population. We present a case of a 13-year-old male with autism admitted to our pediatric intensive care unit, PICU, with acute renal failure, ARF, secondary to obstructive uropathy in the setting of urinary retention who was ultimately diagnosed with and treated for Lyme disease.