title: Fatal adult respiratory distress syndrome in a patient with Lyme disease.
abstract: A dry cough, fever, generalized maculopapular rash, and myositis developed in a 67-year-old woman; she also had markedly abnormal liver function test results. Serologic tests proved that she had an infection of recent onset with Borrelia burgdorferi, the agent that causes Lyme disease. During a two-month course of illness, her condition remained refractory to treatment with antibiotics, salicylates, and steroids. Ultimately, fatal adult respiratory distress syndrome developed; this was believed to be secondary to Lyme disease.
authors: Department of Medicine, Montefiore Hospital, University of Pittsburgh School of Medicine, PA 15213.
authors: M
authors: M
authors: Kirsch
authors: F L
authors: FL
authors: Ruben
authors: A C
authors: AC
authors: Steere
authors: P H
authors: PH
authors: Duray
authors: C W
authors: CW
authors: Norden
authors: A
authors: A
authors: Winkelstein
mesh_terms: D000368:Aged; D000907:Antibodies, Bacterial / Q000032:analysis; D001898:Borrelia / Q000276:immunology; D005260:Female; D006801:Humans; D007074:Immunoglobulin G / Q000032:analysis; D007075:Immunoglobulin M / Q000032:analysis; D008193:Lyme Disease / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D010400:Penicillin G / Q000627:therapeutic use; D012128:Respiratory Distress Syndrome / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D013752:Tetracycline / Q000627:therapeutic use
chemical_list: D000907:Antibodies, Bacterial; D007074:Immunoglobulin G; D007075:Immunoglobulin M; D013752:Tetracycline; D010400:Penicillin G