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

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Brtková J, Jiříčkova P, Kápla J, Dědič K, Plíšková L. Lyme borreliosis of the musculoskeletal system. Ces radiol. 2008;62(1):86-91.
Download citation

References

  1. Croke CL, Munson EL, Lovrich SD, Christopherson JA, Remington MC, et al. Occurrence of Severe Destructive Lyme Arthritis in Hamsters Vaccinated with Outer Surface Protein A nad Challenged with Borrelia burgdorferi. Infection and Immunity, Feb 2000; 68: 658-663. Go to original source... Go to PubMed...
  2. Steere AC. Lyme disease. N Engl J Med 2001; 345: 115-125. Go to original source... Go to PubMed...
  3. Cadavid D, Bai Y, Dail D, Hurd M, Narayan K, et al. Infection and Inflammation in Skeletal Muscle from Nonhuman Primates Infected with Different Genospecies of the Lyme Disease Spirochete B. burgdorferi. Infection and Immunity 2003; 7087-7098. Go to original source... Go to PubMed...
  4. Steere AC. Musculoskeletal manifestations of Lyme disease. Am J Med 1995; 98: 44S-48S. Go to original source... Go to PubMed...
  5. Frey M, Jaulhac B, Piemont Y, Marcellin L, Boohs P, et al. Detection of Borrelia burgdorferi in Muscle of Patients with Chronic Myalgia Related to Lyme Disease. Am J Med 1998; 104: 591-594. Go to original source... Go to PubMed...
  6. Reimers CD, de Koning J, Neubert U, Preac-Mursic V, Koster JG, et al. Borrelia burgdorferi myositis: report of eight patients. J Neurol 1993; 240: 278-283. Go to original source... Go to PubMed...
  7. Schoenen J, Sianard-Gainko J, Carpentier M, Reznik M. Myositis during Borrelia burgdorferi infection. J Neurol Neurosurg Psychiatry 1989; 52: 1002-1005. Go to original source... Go to PubMed...
  8. Dejmková H, Hulínská H, Tegzová D, Pavelka K, Gatterová J, et. al. Seronegative Lyme Arthritis caused by Borrelia garinii. Clin Rheumatol 2002; 21: 330-334. Go to original source... Go to PubMed...
  9. Hendrickx G, De Boeck H, Goossens A, Demanet C, Vandenplas Y. Persistent synovitis in children with Lyme arthritis: two unusual cases. An immunologic approach. Eur J Pediatr 2004; 163: 646-650. Go to original source... Go to PubMed...
  10. Ecklund K, Vargas S, Zurakowski D, Sundel RP. MRI Features of Lyme Arthritis in Children. AJR 2005; 184: 1904-1909. Go to original source... Go to PubMed...

This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.