The American Journal of Medicine
Volume 115, Issue 1 , Page 73 , July 2003

Lyme disease presenting as an influenza-like illness

  • Richard Porwancher

      Affiliations

    • University of Medicine and Dentistry of New Jersey—, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

References 

  1. Steere AC, Dhar A, Hernandez J, et al.  Systemic symptoms without erythema migrans as the presenting picture of early Lyme disease. Am J Med. 2003;114:58–62
  2. Smith RP, Schoen RT, Rahn DW, et al.  Clinical characteristics and treatment outcome of early Lyme disease in patients with microbiologically confirmed erythema migrans. Ann Intern Med. 2002;136:421–428
  3. Steere AC, Sikand VK, Meurice F, et al.  Vaccination against Lyme disease with recombinant Borrelia burgdorferi outer-surface protein A with adjuvant. N Engl J Med. 1998;339:209–215
  4. Belongia EA, Reed KD, Mitchell PD, et al.  Tickborne infections as a cause of nonspecific febrile illness in Wisconsin. Clin Infect Dis. 2001;32:1434–1439
  5. Krause PJ, McKay K, Thompson CA, et al.  Disease-specific diagnosis of coinfecting tickborne zoonoses (babesiosis, human granulocytic ehrlichiosis, and Lyme disease). Clin Infect Dis. 2002;34:1184–1191
  6. Zaidi SA, Singer C. Gastrointestinal and hepatic manifestations of tickborne diseases in the United States. Clin Infect Dis. 2002;34:1206–1212
  7. Wormser GP, Horowitz HW, Nowakowski J, et al.  Positive Lyme disease serology in patients with clinical and laboratory evidence of human granulocytic ehrlichiosis. Am J Clin Pathol. 1997;107:142–147

PII: S0002-9343(03)00240-7

doi: 10.1016/S0002-9343(03)00240-7

The American Journal of Medicine
Volume 115, Issue 1 , Page 73 , July 2003

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