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Migrating Swollen Joint and Lyme Disease: A Case Report
Journal of Emergency Nursing
|June 14, 2021
Summary
A pediatric patient with joint swelling was diagnosed with Lyme disease after a camping trip. Prompt antibiotic treatment led to complete symptom resolution, highlighting early diagnosis importance.
Area of Science:
- Pediatric Rheumatology
- Infectious Diseases
- Diagnostic Imaging
Background:
- Migratory monoarticular joint swelling can present diagnostic challenges in pediatric patients.
- Early identification of infectious etiologies is crucial for timely and effective treatment.
Observation:
- A pediatric patient presented with acute, non-erythematous, non-warm left knee swelling and effusion.
- A history of recent camping in a Lyme-endemic area and preceding fevers were noted.
- Ultrasound-guided aspiration revealed synovial fluid positive for Lyme disease antigens.
Findings:
- The pediatric patient's joint effusion was confirmed to be caused by Lyme disease.
- Treatment with Amoxicillin resulted in complete resolution of joint swelling and pain.
Implications:
- This case underscores the importance of considering Lyme disease in pediatric patients with joint effusions, especially after potential tick exposure.
- Prompt diagnosis and antibiotic therapy are effective in managing Lyme arthritis in children.
- Utilizing diagnostic tools like ultrasound-guided aspiration aids in accurate etiologic determination.
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