Dermatology clinical case

Authors

  • Adriana Ferreira Department of Pediatrics, Hospital Padre Américo, Centro Hospitalar Tâmega e Sousa
  • Eulália Sousa Department of Pediatrics, Hospital Padre Américo, Centro Hospitalar Tâmega e Sousa
  • Joana Soares Department of Pediatrics, Hospital Padre Américo, Centro Hospitalar Tâmega e Sousa
  • Susana Lira Department of Pediatrics, Hospital Padre Américo, Centro Hospitalar Tâmega e Sousa
  • Ângela Machado Department of Pediatrics, Hospital Padre Américo, Centro Hospitalar Tâmega e Sousa

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v30.i2.19533

Keywords:

epidemiology, erythema migrans, Lyme disease

Abstract

Lyme disease is a spirochaetal infection caused by Borrelia Burgdorferi sensu lato, which is transmitted by infected ticks of the genus Ixodes. It has a broad spectrum of clinical manifestations which, associated with its low incidence in Portugal, requires a high level of clinical suspicion for diagnosis. However, it is considered endemic in certain geographic areas, like Central Europe. The authors report the case of a child, living in Switzerland, who developed multiple erythema migrans lesions. Although parents did not recall a history of tick bite, Lyme disease diagnosis was established on clinical grounds, based on erythema and epidemiologic findings. When properly treated with oral antibiotic therapy, Lyme disease has an excellent prognosis. This case highlights the importance of epidemiologic history as a diagnostic clue.

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References

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Shapiro ED. Lyme disease: Clinical manifestations in children. [Internet] In: Kaplan SL, Torchia MM, ed. UptoDate. Waltham, MA: UpToDate, 2018 Available from: https://www.uptodate.com (Accessed on May 02, 2019).

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Published

2021-06-30

How to Cite

1.
Ferreira A, Sousa E, Soares J, Lira S, Machado Ângela. Dermatology clinical case. REVNEC [Internet]. 2021Jun.30 [cited 2023May29];30(2):119-21. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/19533

Issue

Vol. 30 No. 2 (2021)

Section

Imaging Cases

License

Copyright (c) 2021 Adriana Ferreira, Eulália Sousa, Joana Soares, Susana Lira, Ângela Machado

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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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