Hamza Samy, Mrabet Dalila, Cheour Elhem, Meddeb Nihel, Sellami Slaheddine
Service de Rhumatologie, EPS La Rabra, Tunis, Tunisie.
Tunis Med. 2006 Aug;84(8):500-2.
Lyme disease is a systemic infection due to Borrelia burgdorferi. Joint involvement in children, when primary phase is unknown, can be confounded with juvenile idiopathic arthritis. We report a case of a 16 years old girl, who developed at the age of 14 a bilateral and symetrical polyarthritis of big and small joints with fever and cutaneous eruption of trunk. No clinical improvement was seen under disease modified treatment. More biological investigations were performed, leading to the diagnosis of Lyme disease. Clinical recovery was obtained under adapted antibiotherapy, Hence Lyme serology must be performed when atypical polyarthritis appears in a child especially in an endemic region of borrelia burdogferi.
莱姆病是一种由伯氏疏螺旋体引起的全身性感染。当儿童莱姆病的初期阶段不明时，关节受累可能会与幼年特发性关节炎相混淆。我们报告了一例16岁女孩的病例，她在14岁时出现了大小关节双侧对称性多关节炎，并伴有发热和躯干皮肤疹。在疾病改善治疗下未见临床改善。进行了更多的生物学检查，最终诊断为莱姆病。在采用适当的抗生素治疗后临床症状得到缓解。因此，当儿童出现非典型多关节炎时，尤其是在伯氏疏螺旋体流行地区，必须进行莱姆病血清学检查。
