• Pediatric emergency care · Aug 2018

    Lyme Arthritis: An Update for Clinical Practice.

    • Katharine Christina Long and Keri Anne Cohn.
    • Academic Chief of Emergency Department Education, Valley Children's Hospital, Clovis and Clinical Instructor (Affiliate) of Emergency Department, Stanford University School of Medicine, Stanford, CA (Long).
    • Pediatr Emerg Care. 2018 Aug 1; 34 (8): 588-591.

    AbstractLyme disease is the most common vector-borne illness in North America, with the majority of cases occurring in the Northeast and upper Midwest. Lyme arthritis is the most prevalent manifestation of late-stage Lyme disease. Lyme arthritis typically presents as a monoarthritis or oligoarthritis in large joints such as the knee. Accompanying positive 2-tier Lyme serologies or polymerase chain reaction from synovial fluid/tissue is considered diagnostic for patients from an endemic area. The mainstay of initial treatment is a prolonged course of oral antibiotics.

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