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Ten-year-old Omani Girl with Lyme Arthritis
Tahani Al Mughaizwi1, Hatem Al Rawahi2, Nagi Elamin2
1Department of Child Health, Rustaq Hospital, Rustaq, Oman.
Oman Medical Journal
|December 2, 2022
Summary
A child developed Lyme arthritis after living in the US, highlighting the need to consider Lyme disease in patients with similar symptoms and travel history to endemic areas.
Area of Science:
- * Infectious Diseases
- * Rheumatology
- * Pediatrics
Background:
- * Lyme disease is a tick-borne illness caused by Borrelia burgdorferi.
- * It can manifest with various symptoms, including arthritis, particularly affecting large joints like the knee.
- * Diagnosis relies on clinical presentation, exposure history, and laboratory confirmation.
Observation:
- * A 10-year-old girl presented with acute left knee arthritis.
- * She had previously resided in the United States for five years.
- * Symptoms emerged approximately one year after returning to Oman.
Findings:
- * Serology and molecular assays confirmed Lyme arthritis.
- * The case represents the first reported instance of Lyme arthritis in Oman and the Arabian Gulf region.
- * Detailed patient history and physical examination were crucial for diagnosis.
Implications:
- * This case underscores the importance of considering Lyme disease in differential diagnoses for pediatric arthritis.
- * It highlights the need for increased awareness among clinicians regarding Lyme disease in non-endemic regions with a history of travel to endemic areas.
- * Further surveillance and diagnostic preparedness for Lyme disease may be warranted in the Arabian Gulf region.
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