Case Report
Volume 10 Issue 4 - 2021
Primary Lyme Disease with Jarisch-Herxheimer Reaction Causing ARDS
Rafael Deliz-Aguirre1, Mark Stevens2, Miguel Sierra-Hoffman2 and Rafael J Deliz3*
1MD PA Corporation, Laredo, Texas, USA
2Department of Infectious Disease and Critical Care Medicine, Texas A&M, Victoria, Texas, United States of America
3School of Osteopathic Medicine, University of the Incarnate Word, San Antonio, Texas, United States of America
*Corresponding Author: Rafael J Deliz, School of Osteopathic Medicine, University of the Incarnate Word, San Antonio, Texas, United States of America.
Received: March 16, 2021; Published: March 30, 2021


This is a case report of a patient having Lyme Disease without its classic Erythema Migrans, which was complicated with Jarisch-Herxheimer reaction after ceftriaxone, causing acute respiratory failure with pulmonary infiltrates consistent with ARDS. Streptococcus pyogenes septicemia was caused by multiple skin lesions caused by tick bites. He required three different antibiotics to control the disease suggestive of a persister Borrelia burgdorferi infection.

Keywords: Lyme Disease; Jarisch-Herxheimer Reaction; Acute Respiratory Distress Syndrome; Borrelia burgdorferi


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Citation: Rafael J Deliz., et al. “Primary Lyme Disease with Jarisch-Herxheimer Reaction Causing ARDS”. EC Pulmonology and Respiratory Medicine 10.4 (2021): 38-43.

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