Lyme Myositis: Muscle Invasion by Borrelia burgdorferi
Authors: Ernest Atlas
Journal: Annals of Internal Medicine (1988)

Brief Reports1 August 1988Lyme Myositis: Muscle Invasion by Borrelia burgdorferiErnest Atlas, MD, Stuart N. Novak, MD, Paul H. Duray, MD, Allen C. Steere, MDErnest Atlas, MDSearch for more papers by this author, Stuart N. Novak, MDSearch for more papers by this author, Paul H. Duray, MDSearch for more papers by this author, Allen C. Steere, MDSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-109-3-245 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptLyme disease, which is caused by the tick-borne spirochete Borrelia burgdorferi (1), is well known as a cause of arthritis (2). Patients may have other musculoskeletal symptoms in addition to synovitis. Early in the illness, they may have painful tendons, bursae, entheses, muscles, or bones (3). We report a case of a patient with Lyme disease in whom inflammatory myositis was the major feature. Muscle biopsy showed invasion by B. burgdorferi and a lymphoplasmacellular immune response.A 53-year-old man from West Redding, Connecticut, developed pain bilaterally in the lower abdomen and a temperature of up to 38.5 °C on 1...References1. SteereGrodzickiKornblatt AR. The spirochetal etiology of Lyme disease. N Engl J Med. 1983;308;733-40. CrossrefMedlineGoogle Scholar2. SteereShoenTaylor ARE. The clinical evolution of Lyme arthritis. Ann Intern Med. 1987;107;725-31. LinkGoogle Scholar3. CraftGrodzickiSteere JRA. The antibody response in Lyme disease. Evaluation of diagnostic tests. J Infect Dis. 1984;149:789-95. CrossrefMedlineGoogle Scholar4. DurayKusnitzRyan PAJ. Demonstration of Lyme disease spirochete by a modified Dieterle stain method. Lab Med. 1985;16:685-7. CrossrefGoogle Scholar5. JabobsStevensDuray JMP. Lyme disease simulating septic arthritis [Letter]. JAMA. 1986;256:1138. CrossrefGoogle Scholar6. KramerRickertBrodkinRosenstein NRRE. Septal panniculitis as a manifestation of Lyme disease. Am J Med. 1986;81:149-52. CrossrefMedlineGoogle Scholar7. SteereBartenhagenCraft ANJ. The early clinical manifestations of Lyme disease. Ann Intern Med. 1983;99:76-82. LinkGoogle Scholar8. DuraySteere PA. The spectrum of organ and systems pathology in human Lyme disease. Zentralbl Bakteriol Mikrobial Hyg [A]. 1986;263:169-78. MedlineGoogle Scholar9. BartholdMoodyTerwilligerDurayJacobySteere SKGPRA. Experimental Lyme arthritis in rats infected with Borrelia burgdorferi. J Infect Dis. 1988. In press. CrossrefMedlineGoogle Scholar10. SteereHutchinsonRahn AGD. Treatment of the early manifestations of Lyme disease. Ann Intern Med. 1983;99:22-6. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: From the Norwalk Hospital and the Norwalk Medical Group, Norwalk, Connecticut; and the Yale University School of Medicine, New Haven, Connecticut. For current author addresses, see end of text. 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Malane, MD, Jane M. Grant-Kels, MD, Henry M. Feder Jr., MD, Steven W. Luger, MDLyme Borreliosis 1990: Proceedings of the IV International Conference on Lyme Borreliosis Held in Stockholm, Sweden June 18–21, 1990Lyme disease: Clinical manifestations, diagnosis, and treatmentThe many faces and phases of borreliosis I. Lyme diseaseLyme DiseaseNeurologic Manifestations of Lyme DiseaseOrbital Myositis With Lyme DiseaseNervous System Manifestations of Lyme DiseaseLyme Disease: Musculoskeletal ManifestationsHistopathology of Clinical Phases of Human Lyme DiseaseTreatment of Lyme BorreliosisLyme Borreliosis in EuropeLyme DiseaseMyositis caused by Borrelia burgdorferi: Report of four casesLyme disease: Of ticks and titers 1 August 1988Volume 109, Issue 3Page: 245-246KeywordsBorrelia burgdorferiComputed axial tomographyHospital medicineLyme diseaseMusclesMyositisRheumatologySpirochetesTemperatureTendons Issue Published: 1 August 1988 PDF DownloadLoading ...