Two cases of orbital myositis as a rare feature of lyme borreliosis.

Case Reports in Infectious Diseases
Arnaud SauerY Hansmann

Abstract

Myositis has been reported as a rare manifestation of Lyme disease, and the Lyme disease spirochetes can be an important consideration in the differential diagnosis of unusual cases of myositis, especially in patients who live in or travel to endemic areas. We report the case of two patients who presented with focal orbital myositis which are rare localization for Lyme disease. Myositis were confirmed by magnetic resonance imaging. Diagnosis criteria for Borrelia burgdorferi (B. burgdorferi) infection was supported by (i) medical history (tick bite in an endemic area), (ii) systemic clinical findings (Erythema migrans, neurological manifestation or arthritis), (iii) positive Lyme serology and/or the detection of B. burgdorferi DNA by polymerase chain reaction, as well as (iv) exclusion of other infectious and inflammatory causes. The current cases are reviewed in the context of findings from previous myositis descriptions.

References

May 1, 1993·Journal of Neurology·C D ReimersP H Duray
Mar 11, 2000·Ophthalmology·H O MikkiläA Karma
May 4, 2004·Ophthalmology·Petros E CarvounisCraig E Geist
Jul 16, 2005·Clinical Microbiology Reviews·Maria E Aguero-RosenfeldGary P Wormser
Jan 18, 2006·Clinical Neurology and Neurosurgery·Jan Hillert
Jul 28, 2006·Arthritis and Rheumatism·Aaron R Holmgren, Eric L Matteson
Mar 23, 2007·Médecine et maladies infectieuses·B Bodaghi
Feb 6, 2009·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Arnaud SauerClaude Speeg-Schatz

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Citations

Jul 4, 2015·Journal français d'ophtalmologie·A SellamC Biton-Ouayoun
Oct 21, 2016·Acta Neurologica Scandinavica·J FinstererW Grisold
Aug 28, 2018·Acta Ophthalmologica·Dragana ŠkiljićMarita Andersson Grönlund

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Methods Mentioned

BETA
biopsy
enzyme-linked immunosorbent assay

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