MARK H. GOELLNER, M.D.; WILLIAM A. AGGER, M.D.; JOHN H. BURGESS, M.D.; PAUL H. DURAY, M.D.
Lyme Disease, a multisystem disorder caused by the tick-borne spirochete, Borrelia burgdorferi (1), is characterized by malaise, fever, headache, arthralgia, myalgia, stiff neck, lymphadenopathy, paresthesia, and a distinctive rash, erythema chronicum migrans, in its early phase (2). Neurologic, cardiac, and joint abnormalities may follow within weeks to months (3-5). We report the case of a patient with fever, hepatitis, and a maculopapular rash due to recurrent Lyme disease.
A 73-year-old farm woman developed fever, chills, vomiting, myalgia, pedal paresthesia, arthralgia, and bilateral ankle arthritis in June 1980. She had a temperature of 38 °C and a generalized erythematous rash consisting
GOELLNER MH, AGGER WA, BURGESS JH, DURAY PH. Hepatitis Due to Recurrent Lyme Disease. Ann Intern Med. 1988;108:707–708. doi: 10.7326/0003-4819-108-5-707
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Published: Ann Intern Med. 1988;108(5):707-708.
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