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Journal of Medical Case Reports

, 4:187

First Online: 21 June 2010Received: 21 October 2009Accepted: 21 June 2010DOI: 10.1186-1752-1947-4-187

Cite this article as: Nguyen, H., Le, C. & Nguyen, H. J Med Case Reports 2010 4: 187. doi:10.1186-1752-1947-4-187

Abstract

IntroductionDermatomyositis has been described in the setting of lyme infection in only nine previous case reports. Although lyme disease is known to induce typical clinical findings that are observed in various collagen vascular diseases, to our knowledge, we believe that our case is the first presentation of acute lyme disease associated with amyopathic dermatomyositis, which was then followed by severe and fatal interstitial pulmonary fibrosis only two months later.

Case presentationWe present a case of a 64-year-old African-American man with multiple medical problems who was diagnosed with acute lyme infection after presenting with the pathognomonic rash and confirmatory serology. In spite of appropriate antimicrobial therapy for lyme infection, he developed unexpected amyopathic dermatomyositis and then interstitial lung disease.

ConclusionsThis case illustrates a potential for lyme disease to produce clinical syndromes that may be indistinguishable from primary connective tissue diseases. An atypical and sequential presentation dermatomyositis and interstitial lung disease of a common disease lyme infection is discussed. This case illustrates that in patients who are diagnosed with lyme infection who subsequently develop atypical muscular, respiratory or other systemic complaints, the possibility of severe rheumatological and pulmonary complications should be considered.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-4-187 contains supplementary material, which is available to authorized users.

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Autor: Hien Nguyen - Connie Le - Hanh Nguyen

Fuente: https://link.springer.com/







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