The Lyme Disease Network
Medical / Scientific Abstract


Title:Recurrent erythema migrans despite extended antibiotic treatment with minocycline in a patient with persisting Borrelia burgdorferi infection.
Authors:Liegner KB, Shapiro JR, Ramsay D, Halperin AJ, Hogrefe W, Kong L
Source:J Am Acad Dermatol 1993 Feb;28(2 Pt 2):312-4
Organization:Department of Medicine, Northern Westchester Hospital Center, Mount Kisco, NY.

Abstract:
Erythema migrans recurred in a patient 6 months after a course of treatment with minocycline for Lyme disease. Polymerase chain reaction on heparinized peripheral blood at that time demonstrated the presence of Borrelia burgdorferi-specific DNA. The patient was seronegative by Lyme enzyme-linked immunosorbent assay but showed suspicious bands on Western blot. Findings of a Warthin-Starry stain of a skin biopsy specimen of the eruption revealed a Borrelia-compatible structure. Reinfection was not believed to have occurred. Further treatment with minocycline led to resolution of the erythema migrans.

Keywords:
Aged, Case Report, Erythema Chronicum Migrans, DRUG THERAPY, PATHOLOGY, Female, Human, Lyme Disease, Minocycline, THERAPEUTIC USE, Recurrence, Tetracycline, THERAPEUTIC USE

Language: Eng

Unique ID: 93171352


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