Background: Lyme disease is a three phase multifunctional infection. Phase II and II are also called „great imitator“, taking in consideration that its symptoms are alike other disease symptoms, and therefore, it is difficult to do a right diagnosis, and treat and cure as fibromyalgia, chronic fatigue syndrome, rheumatoid arthritis, multiple sclerosis, Parkinson disease, Lupus Erythematodes. Official medicine does not recognize chronic recidive stream of the disease and therefore therapy for Borreliosis is strictly determined from 2 up to 6 weeks (WHO, CDC, textbooks, quideline, UpToData). Objective: The aim of this case report is to draw attention to more and more frequent recognition of chronic Borreliosis in our midst and to urge better cooperation between doctors of various expertise on every level. Case presentation: In this paper we present a case with knee contracture on both knees of a 46 years old man, caused by Borreliosis Burgdorferi. Disease diagnosis was set 9 months after the very start of the symptoms including implemented therapy during a 4 weeks period with Cephtriaxon. But, the disease has relapsed, with such a wavy flow, and, patient remained permanently disabled. Because of aforementioned ailments, the patient was treated by rheumatologist as seronegative polyarthritis with the exclusion of Rheumatoid Arthritis. Patient walked harder, having „legs fatigue”, with knee and ankle aches with a feeling that his knees are „starting to consecrate”. He was very insecure during walking, couldn't feel leg stretches, and therefore he would lift his leg poorly, stuck to the mat and periodically fall. Conclusion: Postponed therapy and short providing of antibiotics increasing the percentage of relapsing that might cause permanent disability. Therapy revision is necessary on global level, not only for acute form, but also for chronic Borreliosis as well.
Key words: Chronic Borreliosis, sequels, knee contracture
|
