Lyme Disease Presenting as a Spontaneous Knee Effusion
Musculoskeletal complaints, which are frequently associated with Lyme disease, often prompt patients to see a physician. In particular, transient episodes of spontaneous knee effusion are common early in the progression of Lyme disease, and, if left untreated, 60% of patients diagnosed with the dise...
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Veröffentlicht in: | Journal of the American Academy of Orthopaedic Surgeons 2015-11, Vol.23 (11), p.674-682 |
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creator | Matzkin, Elizabeth Suslavich, Kaytelin Curry, Emily J |
description | Musculoskeletal complaints, which are frequently associated with Lyme disease, often prompt patients to see a physician. In particular, transient episodes of spontaneous knee effusion are common early in the progression of Lyme disease, and, if left untreated, 60% of patients diagnosed with the disease develop Lyme arthritis. This disease is easily treated with antibiotics; therefore, inclusion of Lyme disease in the differential diagnosis as a potential cause of a spontaneous knee effusion can prevent the development of more severe symptoms associated with the disease. However, the time required to receive test results and the inconsistencies between serum and synovial tests can complicate diagnosis of the disease. |
doi_str_mv | 10.5435/JAAOS-D-14-00388 |
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In particular, transient episodes of spontaneous knee effusion are common early in the progression of Lyme disease, and, if left untreated, 60% of patients diagnosed with the disease develop Lyme arthritis. This disease is easily treated with antibiotics; therefore, inclusion of Lyme disease in the differential diagnosis as a potential cause of a spontaneous knee effusion can prevent the development of more severe symptoms associated with the disease. 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However, the time required to receive test results and the inconsistencies between serum and synovial tests can complicate diagnosis of the disease.</description><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Arthritis, Infectious - diagnosis</subject><subject>Arthritis, Infectious - etiology</subject><subject>Development and progression</subject><subject>Diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Exudates and transudates</subject><subject>Humans</subject><subject>Knee Joint - microbiology</subject><subject>Lyme disease</subject><subject>Lyme Disease - complications</subject><subject>Lyme Disease - diagnosis</subject><issn>1067-151X</issn><issn>1940-5480</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkc1Lw0AQxRdRrFbvniTgxUvqbnZ2s3ssbf0sVNCDt2WTTmw0H3U3QfzvTRsVBZnDDMPvDY95hJwwOhLAxcXteLx4CKchg5BSrtQOOWAaaChA0d1upjIOmWBPA3Lo_QulTILU-2QQSWBSMnlA5PyjxGCae7Qeg3uHHqsmr54D6wMbPKzrqrEV1q0P7irEYJZlrc_r6ojsZbbwePzVh-TxcvY4uQ7ni6ubyXgepiC4CmUEAuNIRRSZkNQqFAlE3FqRclhagESgim2iBVtKUEqrOKE6jmhmdQKKD8l5f3bt6rcWfWPK3KdYFL0nw-Io1kpxFnXoWY8-2wJNXmV142y6wc0YuASuteQdNfqH6mqJZZ7WFWZ5t_8joL0gdbX3DjOzdnlp3Ydh1GwyMNsMzNQwMNsMOsnpl-k2KXH5I_h-egdAD7zXRYPOvxbtOzqzQls0q793f2XLPwGDxY6_</recordid><startdate>201511</startdate><enddate>201511</enddate><creator>Matzkin, Elizabeth</creator><creator>Suslavich, Kaytelin</creator><creator>Curry, Emily J</creator><general>by Lippincott Williams & Wilkins, Inc</general><general>American Academy of Orthopaedic Surgeons</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201511</creationdate><title>Lyme Disease Presenting as a Spontaneous Knee Effusion</title><author>Matzkin, Elizabeth ; Suslavich, Kaytelin ; Curry, Emily J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4538-6245e72820e1560a8e5b423aa5c34da44b5e87ab951d6488987b09720fa9b483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Arthritis, Infectious - diagnosis</topic><topic>Arthritis, Infectious - etiology</topic><topic>Development and progression</topic><topic>Diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Exudates and transudates</topic><topic>Humans</topic><topic>Knee Joint - microbiology</topic><topic>Lyme disease</topic><topic>Lyme Disease - complications</topic><topic>Lyme Disease - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Matzkin, Elizabeth</creatorcontrib><creatorcontrib>Suslavich, Kaytelin</creatorcontrib><creatorcontrib>Curry, Emily J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the American Academy of Orthopaedic Surgeons</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Matzkin, Elizabeth</au><au>Suslavich, Kaytelin</au><au>Curry, Emily J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lyme Disease Presenting as a Spontaneous Knee Effusion</atitle><jtitle>Journal of the American Academy of Orthopaedic Surgeons</jtitle><addtitle>J Am Acad Orthop Surg</addtitle><date>2015-11</date><risdate>2015</risdate><volume>23</volume><issue>11</issue><spage>674</spage><epage>682</epage><pages>674-682</pages><issn>1067-151X</issn><eissn>1940-5480</eissn><abstract>Musculoskeletal complaints, which are frequently associated with Lyme disease, often prompt patients to see a physician. 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subjects | Anti-Bacterial Agents - therapeutic use Arthritis, Infectious - diagnosis Arthritis, Infectious - etiology Development and progression Diagnosis Diagnosis, Differential Exudates and transudates Humans Knee Joint - microbiology Lyme disease Lyme Disease - complications Lyme Disease - diagnosis |
title | Lyme Disease Presenting as a Spontaneous Knee Effusion |
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