Relapsing or reinfectious Lyme hepatitis

Abstract

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.

Part of CIRS Nexus · Curated by Lauren Lowenstein, The Biotoxin Lady