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Medicina interna de México

Print version ISSN 0186-4866

Abstract

GARCIA FRADE-RUIZ, Luis Fernando. Lyme disease acquired at Morelos, Mexico. Med. interna Méx. [online]. 2018, vol.34, n.2, pp.342-348. ISSN 0186-4866.  http://dx.doi.org/10.24245/mim.v34i2.1605.

We present the case of a patient who referred tick bite 18 months previous in legs and neck during the stay in Tequesquitengo, Morelos state, continuing the following months with fatigue, dizziness, muscle aches, arthritis, weight loss and alterations in recent memory. Differential diagnoses and Western blotting were performed for B. burgdorferi, which established the diagnosis of late manifestations of Lyme disease. Lyme disease is a zoonosis transmitted by Ixodes ticks and occurs in approximately 300,000 cases annually in the United States. The most frequent clinical manifestation in the early form is the erythema migrans, being able to present neurological and cardiac manifestations. It is possible that multifactorial phenomena, such as climate changes, favor the extension of this zoonosis outside the traditional territory of North America. We must take into account in our clinical practice the manifestations of Lyme disease for its timely diagnosis and treatment, regardless of its geographical incidence.

Keywords : Lyme disease; Tick bite.

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