{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T05:53:19Z","timestamp":1726206799333},"reference-count":20,"publisher":"Termedia Sp. z.o.o.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reumatologia"],"published-print":{"date-parts":[[2020,10,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>The objective of this article was to present the clinical peculiarity of the Jarisch-Herxheimer reaction (JHR) during antibiotic treatment of Lyme arthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Case study presentation as a\u00a0basis for discussion, literature search of PubMed database particularly in the subject of combination of the JHR and Lyme borreliosis using the combination of words \u201cJarisch-Herxheimer reaction\u201d and \u201cLyme borreliosis\u201d, \u201cLyme arthritis\u201d, \u201cantibiotic treatment\u201d, \u201cgeneralized inflammation\u201d, \u201ccytokine production\u201d, \u201cchildren\u201d, \u201cincreasing awareness\u201d; discussion of the problem based on a\u00a0clinical case and cited articles.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The authors present a\u00a0case of Lyme arthritis in a\u00a013-year-old boy, as well as a\u00a0discussion of clinical features of this complication of Lyme disease treatment as the Jarisch-Herxheimer reaction. On the 7th day of doxycycline treatment the patient\u2019s condition deteriorated: a\u00a0low-grade fever occurred, and severe arthralgias with intense hip, ankle and cervical spine pain and myalgias developed. Erythrocyte sedimentation rate and C-reactive protein were elevated. The Jarisch-Herxheimer reaction was diagnosed. This complication was characterized by severity, long duration and marked signs of inflammation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In the reviewed literature the Jarisch-Herxheimer reaction in patients with Lyme borreliosis is described more often in adults, with mild course and short duration of the disease.  Based on the presented clinical picture this severe complication may also be associated with long duration and marked signs of inflammation. The authors suggest that informing health professionals about occurrence of the Jarisch-Herxheimer reaction should help physicians to distinguish it from allergic reactions or other conditions and improve treatment outcomes.<\/jats:p><\/jats:sec>","DOI":"10.5114\/reum.2020.99143","type":"journal-article","created":{"date-parts":[[2020,11,16]],"date-time":"2020-11-16T12:35:55Z","timestamp":1605530155000},"page":"335-338","source":"Crossref","is-referenced-by-count":6,"title":["The Jarisch-Herxheimer reaction associated with doxycycline in a\u00a0patient with Lyme arthritis"],"prefix":"10.5114","volume":"58","author":[{"given":"Svitlana","family":"Nykytyuk","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oksana","family":"Boyarchuk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sergiy","family":"Klymnyuk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofiya","family":"Levenets","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3061","published-online":{"date-parts":[[2020,10,3]]},"reference":[{"key":"ref-780485","doi-asserted-by":"publisher","DOI":"10.1016\/j.idc.2015.02.004."},{"key":"ref-780486","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60103-7"},{"key":"ref-780487","first-page":"1","article-title":"Centers for Disease Control and Prevention (CDC). 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