Doença de Lyme - Forma rara de apresentação

Authors

  • P. Ramos Interno do Internato Complementar de Medicina Interna Serviço de Medicina 2 e Serviço de Dermatologia. Hospital Curry Cabral
  • C. Fernandes Interna do Internato Complementar de Dermatologia Serviço de Medicina 2 e Serviço de Dermatologia. Hospital Curry Cabral
  • J. Moreira Assistente Hospitalar de Medicina Interna Serviço de Medicina 2 e Serviço de Dermatologia. Hospital Curry Cabral
  • A. Ventura Assistente Hospitalar Graduado de Medicina Interna Serviço de Medicina 2 e Serviço de Dermatologia. Hospital Curry Cabral
  • M. Riscado Assistente Hospitalar Graduado de Medicina Interna, Serviço de Medicina 2 e Serviço de Dermatologia. Hospital Curry Cabral

Keywords:

Lyme disease, peri-orbital oedema, purulent conjunctivitis

Abstract

The authors present the case of a 32 year old male presenting the classic features of Erythema Chronicum Migrans. Significant titles for Borrellia burgdorferi were then obtained. After an antibio­tic triai with tetracycline a good response was ob­tained, with a quick disappearance of ali skin lesi­ons. ln two months time new secondary skin lesi­ons of Lyme disease, together with a bilateral and intense peri-orbital oedema and purulent conjunc­tivitis, occurred. Again a good response was ob­tained from doxicyclin with a quick disappearan­ce of all features. ln the following months with an almost monthly sequence, multiple relapsing epi­sodes of widespread secondary cutaneous lesions of Lyme disease were seen. A definitive remission was then obtained, upon use of I. V. ceftriaxon.

Downloads

Download data is not yet available.

References

Steere C, Bartenhagen D e/ al. The Early Clinical Manifestations of Lymc Disease. Ann lntern Med 1983; 99: 76-82.

Volkman D. Dattwyler R. Imunodiagnóstico e tratamento da Borreliose de Lyme. Momento Médico 1990; 30(3): 3-11.

Steere A. Malawista S, HardinJ. Rudcly S, Askenase P, Andiman W. Erythema Chronicum Migrans and Lyme arthritis. Ann Intern Med 1977: 86: 685-698

Lugcr S. Lyme disease transmited by a biting fly. Letter. - Engl J Med 1990; 322 1752.

Sigal L. Summary of the first 100 patients seen ata Lyme Disease Referra! Center. AmJ Med 1990: 88: 577-581.

Steere A, Hutch G, Rahn D, Sigal L, Craft.J, Desana E. Malawista S. Treatment of the early manifestations of Lyme disease. Ann Intern Med 1983; 99: 22-26.

Ruel M. Dournon E. La Maladie de Lyme. Ann Med Interne 1988: 139: 555-574.

Aaberg T. The Expanding ophthalmologic spectrum of Lyme di­sease. AmJ Ophth 1989; 107: 77-80.

Steere A, Dwyer E, Winchester R. Association of chronic Lyme Arthritis with HLA-Dr4 and HLA-Dr2 alleles. N Engl J Med 1979: 301(25): 1358-1363.

Dattwyer R, Halperin J, Volkman D, Luft G. Treatment of late Lyme borreliosis - Randomised Comparison of ceftriaxone and penicilin. Lancet 1988; 8596: 1191-1194.

Additional Files

Published

1994-09-30

How to Cite

1.
Ramos P, Fernandes C, Moreira J, Ventura A, Riscado M. Doença de Lyme - Forma rara de apresentação. RPMI [Internet]. 1994 Sep. 30 [cited 2024 Dec. 18];1(3):161-5. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/2466

Issue

Section

Case Reports