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Pediatr Emerg Care. 2018 Aug;34(8):588-591. doi: 10.1097/PEC.0000000000001576.

Lyme Arthritis: An Update for Clinical Practice.

Author information

1
Academic Chief of Emergency Department Education, Valley Children's Hospital, Clovis and Clinical Instructor (Affiliate) of Emergency Department, Stanford University School of Medicine, Stanford, CA (Long).
2
Assistant Professor of Clinical Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA.

Abstract

Lyme disease is the most common vector-borne illness in North America, with the majority of cases occurring in the Northeast and upper Midwest. Lyme arthritis is the most prevalent manifestation of late-stage Lyme disease. Lyme arthritis typically presents as a monoarthritis or oligoarthritis in large joints such as the knee. Accompanying positive 2-tier Lyme serologies or polymerase chain reaction from synovial fluid/tissue is considered diagnostic for patients from an endemic area. The mainstay of initial treatment is a prolonged course of oral antibiotics.

PMID:
30080791
DOI:
10.1097/PEC.0000000000001576
[Indexed for MEDLINE]

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