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Mahalingam, M., Bhawan, J., Chomat, A.-M. and Hu, L. (2008) Lyme Borreliosis. Fitzpatrick’s Dermatology in General Medicine, Wolff, K., Goldsmith, L.A., Katz, S.I., Gilchrest, B.A., Paller, A.S. and Leffel, D.J., Eds., 7th Edition, McGraw Hill, New York, 1797-1806.

has been cited by the following article:

• TITLE: Evaluation of Lyme Disease in a Health Worker, and Review of the Literature

  AUTHORS: Fulya Bayındır Bilman, Mevliye Yetik

  KEYWORDS: Lyme Disease, Borrelia burgdorferi

  JOURNAL NAME: Open Access Library Journal, Vol.3 No.4, April 29, 2016

  ABSTRACT: Lyme disease (LD) is a multisystemic zoonotic infection disease that occurs in the consequence of contamination of Borrelia type of spirochetes that ticks carry after they have bitten. Typical clinic findings are on the skin and in joints. In this paper, the study on heavy joint pain having suddenly been added to the profile and on limitation of movement, and the process of getting the diagnosis of LD were probed in the patient with lesions on her skin that occurred three months ago. The case not having reported a history of being bitten by ticks and who was a health professional was female patient of 41 years of age. In her examination, a large number of lesions similar to fly bites were seen on the skin in the periphery of extremities, and the patient, whose routine hematologic and biochemical examinations were within normal limits, was determined to be Borrelia IgM positive and Borrelia IgG negative in the enzyme-linked immunosorbent assay (ELISA) tests performed from peripheric blood. Through these findings, cutaneous lesions and arthralgia were thought to be related to Borrelia infection that developed after the tick bite that took place months ago and was not realized. The patient was treated with doxycycline (100 mg/day, 30 days) and prednisolone (16 mg/day, 30 days, reducing the dose). As a supplementary treatment, vitamin D was administered by way of IM as a support. Arthralgia and joint involvement started to recover the second day. Lesions partly regresses in three days after the treatment started. LD cases must be considered in the differential diagnosis of infectious diseases that start with unexplained arthralgia at the beginning and suspicious lesions on the skin, and the case is probed by scanning literature over these concepts.