Management of patients presenting with generalized musculoskeletal pain and a suspicion of Lyme disease

Autor: S. Ranque-Garnier, Didier Raoult, C. Sault, Carole Eldin, A. Donnet
Přispěvatelé: Vecteurs - Infections tropicales et méditerranéennes (VITROME), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées (IRBA), Microbes évolution phylogénie et infections (MEPHI), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Centre National de la Recherche Scientifique (CNRS), Institut de Recherche pour le Développement (IRD)-Aix Marseille Université (AMU)-Institut de Recherche Biomédicale des Armées [Brétigny-sur-Orge] (IRBA)
Rok vydání: 2019
Předmět:
Musculoskeletal pain
medicine.medical_specialty
Fibromyalgia
Tick
Diagnosis
Differential
03 medical and health sciences
Lyme disease
[SDV.MHEP.CSC]Life Sciences [q-bio]/Human health and pathology/Cardiology and cardiovascular system
Quality of life
Musculoskeletal Pain
[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases
Internal medicine
Borrelia
parasitic diseases
medicine
Humans
[SDV.MP.PAR]Life Sciences [q-bio]/Microbiology and Parasitology/Parasitology
ComputingMilieux_MISCELLANEOUS
Lyme Disease
Post-Lyme Disease Syndrome
[SDV.MHEP.ME]Life Sciences [q-bio]/Human health and pathology/Emerging diseases
0303 health sciences
Pain syndrome
biology
030306 microbiology
business.industry
bacterial infections and mycoses
biology.organism_classification
medicine.disease
[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology
3. Good health
Infectious Diseases
Post-Treatment Lyme Disease Syndrome
[SDV.MP.VIR]Life Sciences [q-bio]/Microbiology and Parasitology/Virology
business
Zdroj: Médecine et Maladies Infectieuses
Médecine et Maladies Infectieuses, Elsevier Masson, 2019, 49 (2), pp.157-166. ⟨10.1016/j.medmal.2019.01.008⟩
Médecine et Maladies Infectieuses, 2019, 49 (2), pp.157-166. ⟨10.1016/j.medmal.2019.01.008⟩
ISSN: 0399-077X
Popis: Lyme disease is caused by bacteria of the B. burgdorferi sensu lato complex, and can give polymorphic clinical manifestations that can affect several organs such as the skin, the central nervous system, or the joints. In recent years, patients’ associations and physicians have been supporting the hypothesis that this infection would manifest as chronic generalized musculoskeletal pain symptoms, named “chronic Lyme disease”. Fibromyalgia is a clinical presentation characterized by chronic generalized musculoskeletal pain with a major impact on quality of life and social and psychological functioning. We analyzed existing literature data on pain syndromes associated with Lyme disease (post-treatment Lyme disease syndrome) or tick bites (polymorphic symptoms after a tick bite). We also analyzed existing data on the diagnosis, pathophysiology, and treatment of fibromyalgia. Our review shows that post-treatment Lyme disease syndrome has characteristics very close to post-infectious fibromyalgia. On the other hand, patients presenting for Lyme disease screening because of chronic generalized musculoskeletal pain symptoms after a tick bite should also be screened for fibromyalgia to allow appropriate management. Antibiotics are not recommended here.
Databáze: OpenAIRE
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