Abstract
Lyme disease is a rapidly growing tick-borne infection in many parts of the United States. Due to the complexity of the various symptom presentations associated with Lyme disease, Borrelia burgdorferi, the bacteria that causes Lyme disease, is thought of as a disease-mimicking infection. The present case report summarizes the case of an adult female patient who was initially diagnosed with ankylosing spondylitis. After becoming refractory to autoimmune-based treatment interventions, she presented to an integrative medicine clinic where she was diagnosed with Lyme disease. Symptoms resolved after following and completing an anti-microbial based protocol, symptoms resolved. Her symptoms remained resolved at follow-up.
Highlights
The number of people diagnosed each year with Lyme disease is approximately 300,000, making it the number one vector borne infection in the US [1]
Due to the complexity of the various symptom presentations associated with Lyme disease, Borrelia burgdorferi, the bacteria that causes Lyme disease, is thought of as a disease-mimicking infection
The present case report summarizes the case of an adult female patient who was initially diagnosed with ankylosing spondylitis
Summary
The number of people diagnosed each year with Lyme disease is approximately 300,000, making it the number one vector borne infection in the US [1]. There is debate about the most appropriate types and lengths of treatments for Lyme disease [9], the current guidelines recommend a 20-day course of antibiotics [2] or longer depending upon response to therapy. Due to the variability in the presentation of AS symptoms, and the difficulty in its diagnosis, the Assessment of SpondyloArthritis International Society (ASAS) has developed criteria to aid in its classification [13]. These criteria can help identify patients with AS who are seronegative or seropositive. In the present care report, the symptoms were initially diagnosed as ankylosing spondylitis
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