Clinical Microbiology: Open Access

Kavita Goyal

Publications

• Case Report
  Tertiary Lyme Disease
  Author(s): Herbert B. Allen*, Rina M. Allawh, Katherine Gresham, Kevin Donnelly and Kavita Goyal Herbert B. Allen*, Rina M. Allawh, Katherine Gresham, Kevin Donnelly and Kavita Goyal
  
  Tertiary syphilis is a well-defined spirochete disease occurring many years after the primary infection. It occurs in approximately 30% of untreated syphilis patients and is mostly seen in the cardiovascular system, the brain and the skin. Other organs such as liver of joints show much less frequent involvement. In this discussion, we consider monoarticular arthritis and Alzheimer’s disease as tertiary Lyme disease, another spirochete malady. Our patient with so called “Montauk knee” had a positive Lyme serology and negative clinical and laboratory findings of other arthritis’s. Treatment with amoxicillin and rifampin led to a cure of her arthritis. We postulate that our patient with dementia had tertiary Lyme disease because Lyme spirochetes have been cultured from Alzheimer’s disease brains and because PCR findings have also confirmed the presence of .. View More»
  DOI: 10.4172/2327-5073.1000309

  Abstract PDF