Abstract
A dry cough, fever, generalized maculopapular rash, and myositis developed in a 67-year-old woman; she also had markedly abnormal liver function test results. Serologic tests proved that she had an infection of recent onset with Borrelia burgdorferi, the agent that causes Lyme disease. During a two-month course of illness, her condition remained refractory to treatment with antibiotics, salicylates, and steroids. Ultimately, fatal adult respiratory distress syndrome developed; this was believed to be secondary to Lyme disease.
Publication types
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Case Reports
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Aged
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Antibodies, Bacterial / analysis
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Borrelia / immunology
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Female
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Humans
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Immunoglobulin G / analysis
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Immunoglobulin M / analysis
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Lyme Disease / complications
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Lyme Disease / diagnosis*
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Lyme Disease / drug therapy
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Penicillin G / therapeutic use
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Respiratory Distress Syndrome / drug therapy
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Respiratory Distress Syndrome / etiology*
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Respiratory Distress Syndrome / pathology
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Tetracycline / therapeutic use
Substances
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Antibodies, Bacterial
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Immunoglobulin G
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Immunoglobulin M
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Tetracycline
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Penicillin G