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- Vittorio Fiore, Julia Rakusa, Thomas Fehr, and Jürg Wick.
- Innere Medizin, Kantonsspital Graubünden, Chur.
- Praxis (Bern 1994). 2021 Apr 1; 110 (6): 299-300.
Abstract Lyme disease is the most common vector-borne illness in Switzerland and Lyme arthritis the most prevalent manifestation of late-stage Lyme disease. It presents as a monoarthitis or oligoarthritis in large joints, often involving the knee. Such a clinical presentation, together with positive Lyme serologies or polymerase chain reactions from synovial fluid/tissue, is considered diagnostic. If there is no tick bite or erythema migrans in the patient's history the diagnosis can be challenging due to the many differential diagnoses. The initial treatment is a prolonged course of oral antibiotics.
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