A case of Lyme disease with parotitis.
A-59-year-old Japanese woman presented a cellulitis-like erythematous skin rash, low-grade fever, and general fatigue, accompanied by a firm swelling of the right parotid gland. She had a history of tick bite on the right lateral neck 2 weeks before. Serum anti-Borrelia burgdorferi antibody was positive by Western blot analysis, and B. burgdorferi was isolated from the skin lesion. Serum amylase level was elevated with predominant salivary gland isozyme; the level returned to normal within 3 weeks following penicillin and tetracycline treatment. Parotitis might be included among the rare complications of Lyme disease affecting the head and neck region.
Kawagishi
N
N
Division of Dermatology, Kitami Kobayashi Hospital, Kitami, Japan.
Takahashi
H
H
Hashimoto
Y
Y
Miyamoto
K
K
Iizuka
H
H
D015748:Borrelia burgdorferi Group / Q000302:isolation & purification*; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D008297:Male; D008875:Middle Aged; D010306:Parotid Gland / Q000473:pathology; D010309:Parotitis / Q000150:complications* / Q000473:pathology; D017192:Skin Diseases, Bacterial / Q000150:complications*