Lyme disease with effusion either in hip or knee in children from Podlaskie region treated in clinic in 2004-2010.
Przegl Epidemiol
; 68(3): 425-8, 535-7, 2014.
Article
en En, Pl
| MEDLINE
| ID: mdl-25394303
ABSTRACT
OBJECTIVES:
Lyme disease (LB) relatively commonly causes arthritis among patients, especially in LB endemic area. The aim of the study was to analyze the prevalence of LB in children with hip and knee effusion in the North Eastern region of Poland. Conclusions from our study should justify the need of taking into account LB in the diagnosis of hip or knee effusion in children. MATERIALS ANDMETHODS:
The medical records of 321 children, aged 2-18 years, with synovitis of the hip or knee were reviewed.RESULTS:
In 273 cases with hip effusion 32 (11.72%) patients were diagnosed with LB, 233 (85.74%) with transient arthritis, 6 (2.19%) with purulent arthritis, and 2 (0.73%) with juvenile idiopathic arthritis. In 48 cases with knee effusion 12 (25%) patients were diagnosed with Lyme arthritis, 24 (50%) with transient arthritis, 5 (10.42%) with reactive arthritis, 4 (8.33%) with juvenile idiopathic arthritis, and 3 (6.25%) with purulent arthritis.CONCLUSIONS:
The high prevalence of LB in children with hip or knee effusion in endemic areas suggests the need of diagnostics also for LB in all patients presenting with acute monoarticular arthritis. Antibiotic treatment results in complete recovery.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Enfermedad de Lyme
/
Artritis Infecciosa
/
Enfermedades Endémicas
/
Articulación de la Cadera
/
Articulación de la Rodilla
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
País/Región como asunto:
Europa
Idioma:
En
/
Pl
Revista:
Przegl Epidemiol
Año:
2014
Tipo del documento:
Article