Matthew C Hess1, Zachary Devilbiss1, Garry Wai Keung Ho1,2,3,4, Raymond Thal5. 1. VCU-Fairfax Family Practice Sports Medicine Fellowship Program, Fairfax, Virginia. 2. Department of Family Medicine, Virginia Commonwealth University, Richmond, Virginia. 3. Department of Family Medicine, Georgetown University, Washington, District of Columbia. 4. Department of Family Medicine, Uniformed Services University for the Health Sciences, Bethesda, Maryland. 5. Town Center Orthopaedic Associates, Reston, Virginia.
Abstract
CONTEXT: Lyme disease is the most common tick-borne illness in North America and Europe, and Lyme arthritis is a frequent late-stage manifestation in the United States. However, Lyme arthritis has rarely been reported as a postoperative complication. EVIDENCE ACQUISITION: The PubMed database was queried through June 2018, and restricted to the English language, in search of relevant articles. STUDY DESIGN: Clinical review. LEVEL OF EVIDENCE: Level 3. RESULTS: A total of 5 cases of Lyme arthritis as a postoperative complication have been reported in the literature. CONCLUSION: These cases highlight the importance for providers practicing in Lyme-endemic regions to keep such an infection in mind when evaluating postoperative joint pain and swelling. We propose herein an algorithm for the workup of potential postoperative Lyme arthritis. STRENGTH OF RECOMMENDATION TAXONOMY (SORT): C.
CONTEXT: Lyme disease is the most common tick-borne illness in North America and Europe, and Lyme arthritis is a frequent late-stage manifestation in the United States. However, Lyme arthritis has rarely been reported as a postoperative complication. EVIDENCE ACQUISITION: The PubMed database was queried through June 2018, and restricted to the English language, in search of relevant articles. STUDY DESIGN: Clinical review. LEVEL OF EVIDENCE: Level 3. RESULTS: A total of 5 cases of Lyme arthritis as a postoperative complication have been reported in the literature. CONCLUSION: These cases highlight the importance for providers practicing in Lyme-endemic regions to keep such an infection in mind when evaluating postoperative joint pain and swelling. We propose herein an algorithm for the workup of potential postoperative Lyme arthritis. STRENGTH OF RECOMMENDATION TAXONOMY (SORT): C.
Authors: Dean T Nardelli; Joseph P Cloute; K H Kevin Luk; Jose Torrealba; Thomas F Warner; Steven M Callister; Ronald F Schell Journal: Clin Diagn Lab Immunol Date: 2005-06
Authors: Gary P Wormser; Raymond J Dattwyler; Eugene D Shapiro; John J Halperin; Allen C Steere; Mark S Klempner; Peter J Krause; Johan S Bakken; Franc Strle; Gerold Stanek; Linda Bockenstedt; Durland Fish; J Stephen Dumler; Robert B Nadelman Journal: Clin Infect Dis Date: 2006-10-02 Impact factor: 9.079
Authors: Joachim Gläsner; Horst Blum; Volkmar Wehner; Hans Ulrich Stilz; Jonathan D Humphries; G Paul Curley; A Paul Mould; Martin J Humphries; Rupert Hallmann; Martin Röllinghoff; André Gessner Journal: J Immunol Date: 2005-10-01 Impact factor: 5.422
Authors: Matthew A Burchill; Dean T Nardelli; Douglas M England; David J DeCoster; John A Christopherson; Steven M Callister; Ronald F Schell Journal: Infect Immun Date: 2003-06 Impact factor: 3.441
Authors: Corey A Amlong; Dean T Nardelli; Sara Heil Peterson; Thomas F Warner; Steven M Callister; Ronald F Schell Journal: Clin Vaccine Immunol Date: 2006-02