A case of acute hepatitis due to Lyme disease

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Other Title
  • ライム病による急性肝炎の１例
  • 症例報告 ライム病による急性肝炎の1例
  • ショウレイ ホウコク ライムビョウ ニ ヨル キュウセイ カンエン ノ 1レイ

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Abstract

A 34-year-old male, a veterinarian, was referred to our hospital because of the low-grade fever, general malaise, and mild jaundice. His laboratory data showed AST 215 IU/l, ALT 465 IU/l, T-Bil 2.9 mg/dl, CRP 0.38 mg/dl. After the admission, the levels of blood CRP, liver function tests, and peripheral leukocyte counts revealed gradual increase. The patient had high fever, severe arthralgia, and erythematous eruptions on the right back with tiny scars due to bites by an ixodid tick. The diagnosis of Lyme disease was made on the basis of those symptoms as well as the positive serological tests for anti-Borrelia IgM and IgG antibodies. Administrations of an oral Doxycycline followed by an intravenous Ceftriaxone resulted in improvement of the disease. This is the first report of acute hepatitis due to Lyme disease in Japan.<br>

Journal

  • Kanzo

    Kanzo 51 (8), 425-430, 2010

    The Japan Society of Hepatology

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