Lyme disease, An Emerging Infection in Nepal: A Case Report

Authors

  • Prabin Khatri Universal College of Medical Sciences, Bhairahawa, Nepal
  • Chandra Mohan Sah Universal College of Medical Sciences, Bhairahawa, Nepal
  • Rano Mal Piryani Universal College of Medical Sciences, Bhairahawa, Nepal
  • Shatdal Chaudhary Universal College of Medical Sciences, Bhairahawa, Nepal
  • Puspa Raj Dhakal Universal College of Medical Sciences, Bhairahawa, Nepal
  • Anita Shahi Universal College of Medical Sciences, Bhairahawa, Nepal
  • Manoj Karki Universal College of Medical Sciences, Bhairahawa, Nepal
  • Pooja Shah Universal College of Medical Sciences, Bhairahawa, Nepal
  • Suman Sapkota Universal College of Medical Sciences, Bhairahawa, Nepal
  • Aryan Neupane Universal College of Medical Sciences, Bhairahawa, Nepal

DOI:

https://doi.org/10.3126/jucms.v8i02.34309

Keywords:

Lyme disease, erythema chronicum migrans, Nepal

Abstract

ABSTRACT

Lyme disease, an infectious multisystemic disease is caused by "Borrelia burgdorferi". It is a spirochete transmitted by the Ixodes tick. Until today, only one case has been reported from Nepal. Here we report case of a 50-year female from Gulmi, who presented with a history of fever, multiple joint pain, tiredness, tingling sensation, and a painful brownish raised lesion over the neck and anterior chest. The clinical diagnosis was confirmed by histological findings typical of erythema chronicum migrans and by serology. The patient was treated successfully with doxycycline. This is the second case report of Lyme disease from Nepal and the first documented case who presented with typical erythema chronicum migrans. We suspect that Lyme disease might not have been considered in the differential diagnosis of fever with rash and joint pain in Nepal and suggest that it is to be kept as a differential in the given scenario.

 

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Author Biographies

Prabin Khatri, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal

Chandra Mohan Sah, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Dermatology, Universal College of Medical Sciences, Bhairahawa, Nepal

Rano Mal Piryani, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal

Shatdal Chaudhary, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal

Puspa Raj Dhakal, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal

Anita Shahi, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Pathology, Universal College of Medical Sciences, Bhairahawa, Nepal

Manoj Karki, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal

Pooja Shah, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal

Suman Sapkota, Universal College of Medical Sciences, Bhairahawa, Nepal

Department of Internal Medicine, Universal College of Medical Sciences, Bhairahawa, Nepal

Aryan Neupane, Universal College of Medical Sciences, Bhairahawa, Nepal

Intern, Universal College of Medical Sciences, Bhairahawa, Nepal

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Published

2020-12-31

How to Cite

Khatri, P., Sah, C. M., Piryani, R. M., Chaudhary, S., Dhakal, P. R., Shahi, A., Karki, M., Shah, P., Sapkota, S., & Neupane, A. (2020). Lyme disease, An Emerging Infection in Nepal: A Case Report. Journal of Universal College of Medical Sciences, 8(02), 90–92. https://doi.org/10.3126/jucms.v8i02.34309

Issue

Section

Case Reports