A 35-year-old female presents with severe headaches and neck stiffness. She has a history of Lyme disease a year ago, which was treated with antibiotics. What could be the diagnosis, and what are the next steps?
This patient's symptoms of severe headaches and neck stiffness, along with a history of Lyme disease, raise the suspicion of Lyme meningitis. This is a rare complication of Lyme disease and can occur if the disease was inadequately treated or if it was not recognized and treated at all in its early stages. The patient should undergo a lumbar puncture for cerebrospinal fluid analysis to confirm the diagnosis. If Lyme meningitis is confirmed, treatment typically involves a course of intravenous antibiotics.