title: Pleural effusion as a manifestation of Lyme disease.
abstract: We describe a 37-year-old woman who presented with bilateral pleural effusion combined with intermittent low grade fever. Lyme disease was confirmed by seroreactivities against Borrelia burgdorferi spirochetes. The unique clinical findings reveal a rare manifestation with a possible association between B. burgdorferi infection and pleural effusion.
authors.affiliation: Division of Rheumatology-Immunology-Allergy, Tri-Service General Hospital, Taipei, Taiwan, Republic of China.
authors.forename: Hsiang-Cheng
authors.initials: HC
authors.lastname: Chen
authors.forename: Chien-Ming
authors.initials: CM
authors.lastname: Shih
authors.forename: Jenn-Haung
authors.initials: JH
authors.lastname: Lai
authors.forename: Li-Lian
authors.initials: LL
authors.lastname: Chao
authors.forename: San-Yuan
authors.initials: SY
authors.lastname: Kuo
authors.forename: Deh-Ming
authors.initials: DM
authors.lastname: Chang
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D025065:Borrelia burgdorferi / Q000276:immunology / Q000302:isolation & purification; D004318:Doxycycline / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000150:complications / Q000188:drug therapy / Q000276:immunology / Q000473:pathology*; D010996:Pleural Effusion / Q000188:drug therapy / Q000209:etiology / Q000276:immunology / Q000473:pathology*; D013902:Radiography, Thoracic; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D004318:Doxycycline