Hip arthoplasty in a forester after numerous tick bites

• Authors: Zbigniew Szymczak , Tadeusz Płusa , Paweł Baranowski , Jarosław Krawczyk

Abstracts

EN

Arthritis is one of the most important symptoms of late-stage borreliosis, observed in approximately 60% of untreated patients with Lyme disease. In several percent of them, this manifestation is of interest to orthopedic surgeons. The authors present a case of a patient, working as a forester, who underwent left hip replacement arthroplasty having contracted a Borrelia burgdorferi infection in the past, and who was hospitalized 12 years before in the infectious ward due to suspected neuroborreliosis for which he was treated with Cftriaxone 2 × 2.0 g intravenously for 4 weeks. At that time, a tomographic examination of the spinal cord revealed herniated nuclei at levels L4/L5 and L5/S1, which filled the left lateral recess, narrowing the intervertebral holes and compressing the nerve roots on the left side of L4 and L5. In September 2019, total hip replacement in the patient’s left hip joint was performed. It is concluded that an active role of neuroborreliosis in this process of hip joint destruction may be suggested.

Keywords

EN

Lyme disease; rehabilitation; occupational disease; gouty arthritis; hip replacement arthroplasty; acquired joint deformity

• Publisher: Instytut Medycyny Pracy im. prof. dra Jerzego Nofera w Łodzi
• Journal: International Journal of Occupational Medicine and Environmental Health
• Year: 2021
• Volume: 34
• Issue: 5
• Pages: 693-699

Dates

published

2021

Contributors

author

Zbigniew Szymczak

• Mazovian Center of Rehabilitation STOCER, Konstancin-Jeziorna, Poland (Department of Neurorthopedics)

author

Tadeusz Płusa

• Medical Faculty of the Lazarski University in Warsaw, Warsaw, Poland

author

Paweł Baranowski

• Mazovian Center of Rehabilitation STOCER, Konstancin-Jeziorna, Poland (Department of Neurorthopedics)

author

Jarosław Krawczyk

• Mazovian Center of Rehabilitation STOCER, Konstancin-Jeziorna, Poland (Department of Neurorthopedics)

Identifiers

DOI

10.13075/ijomeh.1896.01697

Biblioteka Nauki

2095515