• Scand. J. Rheumatol. · Jan 2002

    Case Reports

    Nodular fasciitis, erythema migrans, and oligoarthritis: manifestations of Lyme borreliosis caused by Borrelia afzelii.

    • S Schnarr, A Wahl, B Jürgens-Saathoff, M Mengel, H H Kreipe, and H Zeidler.
    • Division of Rheumatology, Hannover Medical School, Hannover, Germany. schnarr.sebastian@mh-hannover.de
    • Scand. J. Rheumatol. 2002 Jan 1; 31 (3): 184-6.

    AbstractWe describe a 35-year old patient with nodular fasciitis, erythema migrans, and gonarthritis four months after a bite of a Borrelia afzelii infected tick. The Borrelia afzelii infection was identified by a polymerase chain reaction and direct sequencing of the amplification product. Borrelia-specific DNA was also detectable in nodular fasciitis tissue. We therefore conclude that Borrelia afzelii can be a causative agent of nodular fasciitis and Lyme arthritis in a highly endemic region of Northern Germany.

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