منابع مشابه
Erythema migrans in early disseminated lyme disease.
A 22-year-old woman was admitted to the hospital with fevers, neck pain, the “worst headache of her life,” and bilateral knee pain. The patient reported a history of uveitis and recounted a recent tick exposure. Physical examination revealed multiple red, circular, nonpruritic skin lesions with bull’s-eye appearances that were approximately 2 inches in diameter and located on the patient’s legs...
متن کاملEarly Disseminated Lyme Disease with Carditis Complicated by Posttreatment Lyme Disease Syndrome
Lyme disease is an infectious disease caused by the bacterium Borrelia burgdorferi. When untreated, infection may spread to the heart, nervous system, and joints. Cardiac involvement usually manifests as abnormalities of the conduction system and bradycardia. Treatment of Lyme disease is generally effective, with a subset of patients experiencing persistent, sometimes long-term symptoms called ...
متن کاملBorrelia burgdorferi genetic markers and disseminated disease in patients with early Lyme disease.
Three genetic markers of Borrelia burgdorferi have been associated with disseminated disease: the OspC type, the 16S-23S rRNA intergenic spacer type (RST), and vlsE. Here, we modified previous methods so as to identify the three markers by PCR and restriction fragment length polymorphism in parallel, analyzed B. burgdorferi isolates from erythema migrans (EM) skin lesions in 91 patients, and co...
متن کاملEarly-onset Lyme carditis with concurrent disseminated erythema migrans.
BACKGROUND Lyme disease is an infection that is estimated to affect over 300,000 people in the United States annually. Typically, it presents with erythema migrans (EM), an annular rash at the site of tick attachment, within 3 to 30 days of inoculation. Untreated patients may progress to early disseminated disease. A further complication, Lyme carditis is rare but may occur several weeks later....
متن کاملAltered mental status, an unusual manifestation of early disseminated Lyme disease: A case report
Early disseminated Lyme disease can have a myriad of central nervous system manifestations. These run the gamut from meningitis to radiculopathy and cranial neuropathy. Here we present a case that manifested with only acute mental status change in the setting of central nervous system involvement with Lyme disease. A paucity of other central nervous system manifestations is rare, especially wit...
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ژورنال
عنوان ژورنال: Mayo Clinic Proceedings
سال: 2017
ISSN: 0025-6196
DOI: 10.1016/j.mayocp.2017.01.007