{"title":"Early disseminated cutaneous Lyme disease with SIADH, transaminitis, and pancytopenia: A case report.","authors":"Louis Deschênes, Philippe Jutras, Janie Bujold","doi":"10.1177/2050313X251320186","DOIUrl":null,"url":null,"abstract":"<p><p>Lyme disease is a tick-borne disease predominantly caused by <i>Borrelia burgdorferi</i> in Canada. Early disseminated disease is challenging to diagnose and requires treatment to prevent severe sequelae. We report the case of a 71-year-old woman who was admitted for a fever. Her blood tests showed a syndrome of antidiuretic hormone secretion, transaminitis, and pancytopenia. During hospitalization, the patient was noted to have an initial annular patch, which was followed by multiple diffuse erythematous patches. After a comprehensive medical history by a dermatology consultant highlighting an exposure to a tick bite, early disseminated disease was diagnosed, and a complete remission was obtained with Doxycycline. Dermatologists must maintain a high clinical suspicion for Lyme disease.</p>","PeriodicalId":21418,"journal":{"name":"SAGE Open Medical Case Reports","volume":"13 ","pages":"2050313X251320186"},"PeriodicalIF":0.6000,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11815786/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"SAGE Open Medical Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/2050313X251320186","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
引用次数: 0
Abstract
Lyme disease is a tick-borne disease predominantly caused by Borrelia burgdorferi in Canada. Early disseminated disease is challenging to diagnose and requires treatment to prevent severe sequelae. We report the case of a 71-year-old woman who was admitted for a fever. Her blood tests showed a syndrome of antidiuretic hormone secretion, transaminitis, and pancytopenia. During hospitalization, the patient was noted to have an initial annular patch, which was followed by multiple diffuse erythematous patches. After a comprehensive medical history by a dermatology consultant highlighting an exposure to a tick bite, early disseminated disease was diagnosed, and a complete remission was obtained with Doxycycline. Dermatologists must maintain a high clinical suspicion for Lyme disease.
期刊介绍：
SAGE Open Medical Case Reports (indexed in PubMed Central) is a peer reviewed, open access journal. It aims to provide a publication home for short case reports and case series, which often do not find a place in traditional primary research journals, but provide key insights into real medical cases that are essential for physicians, and may ultimately help to improve patient outcomes. SAGE Open Medical Case Reports does not limit content due to page budgets or thematic significance. Papers are subject to rigorous peer review and are selected on the basis of whether the research is sound and deserves publication. By virtue of not restricting papers to a narrow discipline, SAGE Open Medical Case Reports facilitates the discovery of the connections between papers, whether within or between disciplines. Case reports can span the full spectrum of medicine across the health sciences in the broadest sense, including: Allergy/Immunology Anaesthesia/Pain Cardiovascular Critical Care/ Emergency Medicine Dentistry Dermatology Diabetes/Endocrinology Epidemiology/Public Health Gastroenterology/Hepatology Geriatrics/Gerontology Haematology Infectious Diseases Mental Health/Psychiatry Nephrology Neurology Nursing Obstetrics/Gynaecology Oncology Ophthalmology Orthopaedics/Rehabilitation/Occupational Therapy Otolaryngology Palliative Medicine Pathology Pharmacoeconomics/health economics Pharmacoepidemiology/Drug safety Psychopharmacology Radiology Respiratory Medicine Rheumatology/ Clinical Immunology Sports Medicine Surgery Toxicology Urology Women''s Health.
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