Severe Hyperbilirubinemia: A Rare Complication of Lyme Disease
Gastrointestinal signs and symptoms are common in the early stages of Lyme disease. However, hyperbilirubinemia from Lyme disease is extremely uncommon. There are only two case reports in literature attributing Lyme disease to hyperbilirubinemia. Here we report a case of severe hyperbilirubinemia as...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/2762389 |
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| _version_ | 1832564066121416704 |
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| author | Maarij Baig Lin Zheng Alka Farmer |
| author_facet | Maarij Baig Lin Zheng Alka Farmer |
| author_sort | Maarij Baig |
| collection | DOAJ |
| description | Gastrointestinal signs and symptoms are common in the early stages of Lyme disease. However, hyperbilirubinemia from Lyme disease is extremely uncommon. There are only two case reports in literature attributing Lyme disease to hyperbilirubinemia. Here we report a case of severe hyperbilirubinemia as the presenting symptom of Lyme disease. Other plausible etiologies have been ruled out after extensive workups, including liver biopsy. His hyperbilirubinemia gradually resolved after being started on doxycycline. With high incidence of Lyme disease, it should be considered for patients who present with hyperbilirubinemia in endemic areas with possible tick exposure. |
| format | Article |
| id | doaj-art-90a14a20de474e82870a8713540468a8 |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-90a14a20de474e82870a8713540468a82025-02-03T01:11:53ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362019-01-01201910.1155/2019/27623892762389Severe Hyperbilirubinemia: A Rare Complication of Lyme DiseaseMaarij Baig0Lin Zheng1Alka Farmer2Internal Medicine Residency Program, Inspira Medical Center in Vineland, Vineland, NJ 08360, USADivision of Hospital Medicine, Department of Medicine, Cooper Medical School of Rowan University, Camden, NJ 08103, USADivision of Hospital Medicine, Department of Medicine, Cooper Medical School of Rowan University, Camden, NJ 08103, USAGastrointestinal signs and symptoms are common in the early stages of Lyme disease. However, hyperbilirubinemia from Lyme disease is extremely uncommon. There are only two case reports in literature attributing Lyme disease to hyperbilirubinemia. Here we report a case of severe hyperbilirubinemia as the presenting symptom of Lyme disease. Other plausible etiologies have been ruled out after extensive workups, including liver biopsy. His hyperbilirubinemia gradually resolved after being started on doxycycline. With high incidence of Lyme disease, it should be considered for patients who present with hyperbilirubinemia in endemic areas with possible tick exposure.http://dx.doi.org/10.1155/2019/2762389 |
| spellingShingle | Maarij Baig Lin Zheng Alka Farmer Severe Hyperbilirubinemia: A Rare Complication of Lyme Disease Case Reports in Gastrointestinal Medicine |
| title | Severe Hyperbilirubinemia: A Rare Complication of Lyme Disease |
| title_full | Severe Hyperbilirubinemia: A Rare Complication of Lyme Disease |
| title_fullStr | Severe Hyperbilirubinemia: A Rare Complication of Lyme Disease |
| title_full_unstemmed | Severe Hyperbilirubinemia: A Rare Complication of Lyme Disease |
| title_short | Severe Hyperbilirubinemia: A Rare Complication of Lyme Disease |
| title_sort | severe hyperbilirubinemia a rare complication of lyme disease |
| url | http://dx.doi.org/10.1155/2019/2762389 |
| work_keys_str_mv | AT maarijbaig severehyperbilirubinemiaararecomplicationoflymedisease AT linzheng severehyperbilirubinemiaararecomplicationoflymedisease AT alkafarmer severehyperbilirubinemiaararecomplicationoflymedisease |