title: Pancytopenia in Lyme disease.
abstract: We present a 49-year-old man with subacute onset of fever, weakness, shortness of breath, unilateral lower extremity oedema and pancytopenia who was found to have positive serology for Lyme disease. The patient presented with an intravascular haemolytic pattern on laboratory findings where an extensive infectious disease and haematological workup ruled out ehrlichiosis, anaplasmosis, babesiosis, Rocky Mountain spotted fever, HIV, hepatitis B and other parasitic infections. This left a very atypical presentation of Lyme disease.
authors.affiliation: Department of Medicine, Steward Carney Hospital, Boston, Massachusetts, USA.
authors.forename: Raman
authors.initials: R
authors.lastname: Mehrzad
authors.forename: Joseph
authors.initials: J
authors.lastname: Bravoco
mesh_terms: D003937:Diagnosis, Differential; D006801:Humans; D008193:Lyme Disease / Q000150:complications / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D010198:Pancytopenia / Q000209:etiology*