[Occurrence of angioimmunoblastic T-cell lymphoma six months after onset of Lyme disease].
A 68-year-old man, who had suffered a tick bite one week previously, consulted his home doctor because of fever and an erythematous rash around the bite scar. He underwent a skin biopsy, and Borrelia garinii was detected, from which Lyme disease was diagnosed. He received amoxicillin for two weeks and his symptoms disappeared. After 6 months he noticed swelling of his cervical, axillary and inguinal lymph nodes. A biopsy sample was taken from a left cervical lymph node, and this revealed angioimmunoblastic T-cell lymphoma. The patient achieved a complete remission after chemotherapy. The relationship between Lyme disease and lymphoma is discussed.
Hatanaka
K
K
Department of International Medicine, Kushiro Rousai Hospital.
Miyagishima
T
T
Kamata
T
T
Nakagawa
M
M
Miura
Y
Y
Arai
S
S
Kishimoto
A
A
Kamishima
Y
Y
Shibata
M
M
Choi
G H
GH
Kudo
M
M
Okabe
M
M
Tsukamoto
T
T
Miyamoto
K
K
D000368:Aged; D000658:Amoxicillin / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage / Q000627:therapeutic use; D003520:Cyclophosphamide / Q000008:administration & dosage; D004317:Doxorubicin / Q000008:administration & dosage; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000188:drug therapy; D016399:Lymphoma, T-Cell / Q000188:drug therapy / Q000209:etiology*; D008297:Male; D010406:Penicillins / Q000008:administration & dosage; D011241:Prednisone / Q000008:administration & dosage; D013997:Time Factors; D014750:Vincristine / Q000008:administration & dosage
D010406:Penicillins; D014750:Vincristine; D004317:Doxorubicin; D000658:Amoxicillin; D003520:Cyclophosphamide; D011241:Prednisone