Ces radiol. 2008, 62(1):86-91

Lyme borreliosis of the musculoskeletal systemCase report

Jindra Brtková¹, Petra Jiříčkova², Jaroslav Kápla³, Karel Dědič⁴, Lenka Plíšková⁵

¹ Radiologická klinika LF UK a FN, Hradec Králové

² Radiodiagnostické oddělení Krajská nemocnice Pardubice

³ Klinika infekčních nemocí LF UK a FN, Hradec Králové

⁴ Fingerlandův ústav patologie LF UK a FN, Hradec Králové

⁵ Ústav klinické biochemie a diagnostiky LF UK a FN, Hradec Králové

Review of literature. A review of the literature is presented, explaining the natural history of the disease together with clinical symptoms, based on the immunologic background and focusing on the symptoms of the musculoskeletal system.

Case report: The authors present a case of a 52-year-old man with a history of neuroborreliosis. Six months after a tick bite he presented with moderate pain of his right first metatarsophalangeal (MTP) joint, six months thereafter with severe pain in the entire right foot, redness and an extremely painful oedema, unable to walk. MRI revealed myositis of his plantar muscles and arthritis of several MTP joints. Subsequently, microhistologic biopsy of the muscles with histologic and PCR evaluation was performed. The patient later developed a dry exfoliating affection of the skin on his lower legs.

Keywords: arthritis, Lyme borreliosis, MRI, myositis, X-ray

Accepted: December 15, 2007; Published: March 1, 2008  Show citation