{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:49:47Z","timestamp":1787755787321,"version":"build-2784847793"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>\n                      A 68-year-old woman with a well-functioning total knee replacement presented with signs and symptoms of acute periprosthetic joint infection (PJI). Lyme serology and synovial fluid PCR were performed due to\n                      <jats:italic toggle=\"yes\">Borrelia burgdorferi<\/jats:italic>\n                      . The patient was treated with oral doxycycline, had prompt resolution of symptoms, and remained asymptomatic 2 years later.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Lyme PJI may be underappreciated as a cause of culture-negative PJI, cannot be diagnosed in routine culture, and can be cured without surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00600","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T14:00:26Z","timestamp":1740060026000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Lyme Prosthetic Joint Infection May Be Underappreciated and Can Be Treated Without Surgery"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2762-0878","authenticated-orcid":false,"given":"Andy O.","family":"Miller","sequence":"first","affiliation":[{"name":"Hospital of Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3129-705X","authenticated-orcid":false,"given":"Alberto V.","family":"Carli","sequence":"additional","affiliation":[{"name":"Hospital of Special Surgery, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3852-2926","authenticated-orcid":false,"given":"Cynthia","family":"Kahlenberg","sequence":"additional","affiliation":[{"name":"Hospital of Special Surgery, New York, New 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