Wheelchair-bound CEO regains means to stroll after Lyme disease remedy

Wheelchair-bound CEO regains means to stroll after Lyme disease remedy

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Lyme arthritis is characterised by joint swelling lasting for weeks to months and probably inflicting everlasting joint injury. It will probably worsen signs in sufferers with current joint situations comparable to osteoarthritis and will go undiagnosed, resulting in pointless surgical procedures.

On this case report, “Exacerbation of Osteoarthritic Joint Pain by Lyme Disease,” Bennani and colleagues exhibit the significance in figuring out an underlying tick-borne an infection, as applicable remedy can dramatically enhance a affected person’s high quality of life.¹

A 63-year-old man, who was wheelchair-bound, introduced to his clinician’s workplace with extreme ache in each knees, which had been progressively worsening over a number of months.  He had beforehand undergone bilateral knee arthroscopies for meniscal tears and not too long ago obtained corticosteroid injections, which didn’t alleviate his ache.

The authors counsel that whereas corticosteroids can scale back irritation and alleviate ache, the bacterial an infection can proceed to proliferate and destroy knee tissue.

“Earlier than remedy, our affected person was wheelchair-bound because of the mixture of current osteoarthritis and the manifestation of Lyme disease in his knees.”

“The affected person did report that he was not too long ago on erythromycin for an higher respiratory an infection (URI) and indicated that his knees felt higher whereas he was taking erythromycin,” the authors state.

Moreover, the affected person, who labored as a chief govt officer (CEO) of an organization, was an avid hunter and reported that his canine had Lyme disease.

On condition that the affected person’s canine had Lyme disease, Lyme IgG and Lyme IgM research had been ordered.

Testing for Lyme disease was optimistic and the affected person started remedy with doxycycline.

“Upon completion of doxycycline remedy, our affected person famous vital enchancment in his knee ache,” the authors state.

His enchancment was so vital that the affected person now not wanted the usage of a wheelchair and was capable of cancel his bilateral knee alternative surgical procedure.

Authors conclude: 

  • “Our affected person was capable of keep away from a expensive, high-risk surgical process with the detection and remedy of his Lyme disease.”
  • “Lyme disease ought to all the time be a consideration within the differential prognosis of sufferers who’ve lived or have traveled to areas which might be endemic to the illness and who are likely to have out of doors existence.”

 

References:
  1. Bennani A Z, Chegwidden B, Lambroussis C G, et al. (April 29, 2024) Exacerbation of Osteoarthritic Joint Ache by Lyme Illness. Cureus 16(4): e59318. doi:10.7759/cureus.59318



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