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Imported Pediatric Lyme Disease in Singapore-A Case Series
Ade Xin Ning Tan1, Ilyas Hussin1, Chia Yin Chong2,3,4,5
1Department of Pediatrics, KK Women's and Children's Hospital, Singapore 229899, Singapore.
Abstract:
Lyme disease is the most common reported vector-borne disease in North America and is also highly prevalent across Europe. Although tick-borne diseases are uncommon in Singapore, there remains a risk of imported tick-borne diseases among travelers from endemic regions. We present a case series of three pediatric patients with imported Lyme disease managed at a tertiary children's hospital in Singapore, illustrating the varied clinical presentations of Lyme disease in children. One child developed meningitis following prior antibiotic therapy for Lyme disease, although causality cannot be definitively established. This series aims to highlight key diagnostic considerations and management principles relevant to clinicians practicing in non-endemic regions.
Insights
Imported Lyme disease, a tick-borne illness, can affect children traveling from endemic areas. This case series highlights varied presentations and diagnostic challenges for clinicians in non-endemic regions like Singapore.
Area of Science:
- Infectious Diseases
- Pediatrics
- Epidemiology
Background:
- Lyme disease is a prevalent tick-borne illness in North America and Europe.
- While uncommon in Singapore, imported cases pose a risk, particularly for travelers.
- Understanding varied clinical presentations is crucial for timely diagnosis.
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