A 25-Year-Old Woman With Hallucinations, Hypersexuality, Nightmares, and a Rash

This clinical case follows the history and diagnosis of a 25 year old woman diagnosed with chronic paranoid schizophrenia since age 19. Because of the patient’s incomplete response to previous treatment, the possibility of Lyme disease as an etiology was considered. The results led to a 4-month course of daily intravenous ceftriaxone. In the fourth month of antibiotic therapy, she began to feel better, and she was able to work full-time for the first time in 7 years.