Musculoskeletal manifestations of Lyme disease in children

J Pediatr Orthop. Sep-Oct 1987;7(5):527-30. doi: 10.1097/01241398-198709000-00005.


Lyme disease, caused by a tick-transmitted spirochete, has significant musculoskeletal manifestations in children as well as in adults. A series of 23 children with Lyme disease is examined. Acute arthritis was present in five cases, with the knee being involved in three of these cases. Twelve cases (52%) presented with arthralgias, and 10 cases (43%) presented with myalgias. Neurological manifestations were present in 39% of the cases. Five cases have demonstrated recurrent polyarthralgias. Lyme disease should be considered in the differential diagnosis of arthralgias and arthritis in children.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Arthritis, Infectious / diagnosis*
  • Bites and Stings / complications
  • Child
  • Child, Preschool
  • Diagnosis, Differential
  • Female
  • Humans
  • Infant
  • Lyme Disease / diagnosis*
  • Male
  • Myositis / diagnosis*
  • Ticks