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Case Reports
. 2008 Dec;27(12):1587-91.
doi: 10.1007/s10067-008-1012-z. Epub 2008 Sep 16.

Vasculitis-like syndrome associated with Borrelia lusitaniae infection

I Lopes de Carvalho  1 , J E Fonseca, J G Marques, A Ullmann, A Hojgaard, N Zeidner, M S Núncio
Affiliations
Case Reports

Vasculitis-like syndrome associated with Borrelia lusitaniae infection

I Lopes de Carvalho et al. Clin Rheumatol. 2008 Dec.

Abstract

We report the isolation of Borrelia lusitaniae from a 13-year-old female child presenting with a vasculitis syndrome. The patient was treated with doxycycline, 100 mg bid for 20 days, and is in remission after a follow-up of 2 years. These results should alert clinicians to the fact that B. lusitaniae may be pathogenic in humans, highlighting that patients may be seronegative or present with minimal positive antibody titres and clinical signs that are not specific for Lyme borreliosis. In order to prevent the occurrence of more serious disease manifestations via timely treatment, the analysis by molecular methods may be a useful approach when antibody titres are uninformative.

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