REACTIVATION OF CHRONIC LYME BORRELIOSIS AFTER PASSED COVID-19 INFECTION: A CLINICAL CASE
DOI:
https://doi.org/10.11603/1811-2471.2024.v.i1.14528Keywords:
tick borreliosis, coronavirus infection, diagnosis, treatmentAbstract
SUMMARY. Taking into account the growing relevance of the combined course of infectious diseases, a clinical case of reactivation of chronic Lyme borreliosis after a COVID-19 infection is considered.
The aim – to use the example of a clinical case of reactivation of chronic Lyme borreliosis to confirm the potential impact of coronavirus disease on the possibility of reactivation of chronic infectious pathology, even with a mild course of the COVID-19 infection.
Material and Methods. Clinical, anamnestic, epidemiological, laboratory (general clinical, laboratory, and instrumental (electrocardiography, Holter monitoring, X-ray) examinations were used in the study.
Results. A diagnosis of borreliosis polyarthritis and Lyme myocarditis have been established. Since the specific lesions occurred for no apparent reason, and the symptoms appeared in winter, this ruled out the possibility of re-infection with Lyme borreliosis. During the further search for a potential causative agent that led to the detected changes, the patient was tested for the detection of antibodies to Borrelia burgdorferi by immunoenzymatic analysis. The obtained positive result in the detection of specific antibodies (IgM – 46.64 units/ml, IgG – 87.31 units/ml) indicated the reactivation of Lyme borreliosis. Treatment was prescribed: doxycycline 100 mg twice a day for 28 days, anti-inflammatory therapy. After completion of the course of etiotropic therapy, there was clinical remission, as well as negative results of specific IgM after 3, 6 and 12 months.
Conclusion. So, the clinical case shows the difficulties of establishing a diagnosis of reactivation of Lyme borreliosis, the need for clinical vigilance of practical health care specialists regarding similar cases, even with a mild course of the COVID-19 infection, is emphasized
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