{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:36:24Z","timestamp":1787841384225,"version":"build-2784847793"},"reference-count":4,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:p>A subset of patients who had Lyme disease experience postinfectious signs or symptoms called post-treatment Lyme disease syndrome (PTLDS). PTLDS is a chronic condition including pain in joints and muscles, neurological symptoms including demyelinating diseases, peripheral neuropathy, headaches, sleep disturbances, fatigue, and cardiac conditions. We report a case of difficult acute pain management in a patient with PTLDS who underwent dental extractions and required admission to an intensive care unit for pain control.<\/jats:p>","DOI":"10.4103\/sja.sja_47_17","type":"journal-article","created":{"date-parts":[[2018,1,8]],"date-time":"2018-01-08T01:07:11Z","timestamp":1515373631000},"page":"112-114","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Exacerbation of chronic pain after dental extractions in a patient with post-treatment Lyme disease syndrome"],"prefix":"10.4103","volume":"12","author":[{"given":"Stephanie","family":"Lim","sequence":"first","affiliation":[{"name":"Department of Anesthesia and Perioperative Care, University of California, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakura","family":"Kinjo","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Perioperative Care, University of California, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-20250920","doi-asserted-by":"crossref","first-page":"1089","DOI":"10.1086\/508667","article-title":"The clinical assessment, treatment, and prevention of lyme disease, human granulocytic anaplasmosis, and babesiosis: Clinical practice guidelines by the Infectious Diseases Society of America","volume":"43","author":"Wormser","year":"2006","journal-title":"Clin Infect Dis"},{"key":"R3-20250920","doi-asserted-by":"crossref","first-page":"1783","DOI":"10.1093\/cid\/civ187","article-title":"Editorial commentary: What constitutes appropriate treatment of post-Lyme disease symptoms and other pain and fatigue syndromes?","volume":"60","author":"Steere","year":"2015","journal-title":"Clin Infect Dis"},{"key":"R4-20250920","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1016\/j.pain.2014.04.024","article-title":"Acute and chronic pain associated with Lyme borreliosis: Clinical characteristics and pathophysiologic mechanisms","volume":"155","author":"Zimering","year":"2014","journal-title":"Pain"},{"key":"R5-20250920","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1176\/appi.neuropsych.12090223","article-title":"Post-treatment lyme syndrome and central sensitization","volume":"25","author":"Batheja","year":"2013","journal-title":"J Neuropsychiatry Clin Neurosci"}],"container-title":["Saudi Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01437113-201812010-00019","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:52:28Z","timestamp":1787838748000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01437113-201812010-00019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,1]]},"references-count":4,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.4103\/sja.sja_47_17","relation":{},"ISSN":["1658-354X","0975-3125"],"issn-type":[{"value":"1658-354X","type":"print"},{"value":"0975-3125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,1]]}}}