Lyme Disease Presenting With Sequential Episodes of Ruptured Baker Cysts

Pediatric Lyme Disease Presenting as a Ruptured Popliteal Cyst

“…By inquiring about environmental exposures during initial presentation, Lyme disease could have been considered earlier in the clinical course and confirmed with Lyme serology. As observed in previous studies examining both ruptured and intact Lyme popliteal cysts in adults 4,5 , clinical symptoms have been shown to resolve successfully after the pharmacological treatment of Lyme disease without operative management. This positive response to antibiotic treatment in adult populations, in conjunction with resolution of symptoms after antibiotics in the pediatric patients outlined in this series, suggests that a nonoperative approach to treatment should be the first-line treatment for pediatric ruptured Lyme cysts whether or not synovial fluid is obtained by arthrocentesis.…”

“…Approximately 50% of pediatric patients with Lyme disease initially present with monoarticular arthritis in the late, disseminated stage of the disease 3 . In adult populations, cases of ruptured Baker's cysts and pseudothrombophlebitis have been reported as complications of Lyme disease 4,5 . The pediatric literature has previously discussed Lyme presentations with unruptured popliteal cysts [6][7][8] .In this study, we report 3 cases of pediatric patients presenting with severe calf and knee pain, as well as calf swelling, because of a ruptured popliteal cyst, with subsequent diagnosis of Lyme arthritis.…”

Lyme Disease Presenting as Ruptured Synovial Cysts

“…W e have read with interest the letter to the editor from Bhambhani et al 1 and would like to present 2 additional cases of Lyme disease presenting as a ruptured synovial cyst that are pertinent to the report. Furthermore, these cases emphasize some of the suggestions these authors made regarding diagnosis of this disease.…”

“…Synovial effusion, while common in Lyme arthritis has rarely been reported in association with cyst rupture. [1][2][3] We describe 2 cases of Lyme disease presenting with cyst rupture and pseudo-thrombophlebitis. In both cases, delay in diagnosis led to inappropriate therapy and morbidity.…”

Popliteal Cyst With Positive Antinuclear Antibodies as the Presentation of Lyme Disease

“…[1][2][3][4] We present the case of an adolescent male with over a month of posterior knee pain and a popliteal cyst, ultimately found to be secondary to disseminated Lyme disease.…”