Relapsing or reinfectious lyme hepatitis

✍ Scribed by Robert T. Schoen

• Book ID: 102237135
• Publisher: John Wiley and Sons
• Year: 1989
• Tongue: English
• Weight: 258 KB
• Volume: 9
• Category: Article
• ISSN: 0270-9139
• DOI: 10.1002/hep.1840090229

✦ Synopsis

Lyme disease, a multi-system disorder caused by the tick-borne spirochete, Borrelia burgdorferi, is characterized by malaise, fever, headache, arthralgia, myalgia, stiff neck, lymphadenopathy, paresthesias, and a distinctive rash, erythema chronicum migrans (ECM) in its early phase. Neurologic, cardiac, and joint abnormalities may follow within weeks to months. A patient is described in whom acute recurrent Lyme disease occurred and in which spirochetes were identified in the skin and liver histologically.

COMMENTS

Lyme disease has dermatologic, cardiac, neurologic and musculoskeletal manifestations throughout its different stages. Lyme disease may also cause hepatitis (1 1. as described in t,his report. In 314 patients with early Lyme disease seen at Yale University, abnormalities in liver function tests were found in 19% (usually elevated