Ernest Atlas, MD; Stuart N. Novak, MD; Paul H. Duray, MD; Allen C. Steere, MD
Lyme 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
Atlas E, Novak SN, Duray PH, Steere AC. Lyme Myositis: Muscle Invasion by Borrelia burgdorferi. Ann Intern Med. ;109:245–246. doi: 10.7326/0003-4819-109-3-245
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Published: Ann Intern Med. 1988;109(3):245-246.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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