Systemic Sarcoidosis Associated with Exposure to Borrelia burgdorferi in a 21-Year-Old Man

  • Lars van Dee Universitair Medisch Centrum, Utrecht, The Netherlands
  • Mylene Stehouwer Gelre Ziekenhuizen, Apeldoorn, The Netherlands
  • Thomas van Bemmel Gelre Ziekenhuizen, Apeldoorn, The Netherlands

Keywords

Borrelia burgdorferi, neuroborreliosis, sarcoidosis

Abstract

Objective: Here we describe a rare case of systemic sarcoidosis in a healthy young man with neuroborreliosis as a putative trigger.
Case: A 21-year-old forestry worker was diagnosed with systemic sarcoidosis involving his lungs, kidneys and skin. Additional diagnostics revealed signs indicative of a recent infection with Borrelia burgdorferi. The patient was treated successfully with prednisolone and antibiotics.
Conclusion: Sarcoidosis is a multisystem granulomatous disorder of unknown aetiology. This case suggests that an infection with B. burgdorferi, the causal agent of Lyme disease, could act as a trigger for sarcoidosis.

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  • Published: 2018-09-24

    Issue: Vol 5 No 10 (view)

    Section: Articles

    How to cite:
    van Dee, L., Stehouwer, M., & van Bemmel, T. (2018). Systemic Sarcoidosis Associated with Exposure to Borrelia burgdorferi in a 21-Year-Old Man. European Journal of Case Reports in Internal Medicine, 5(10). https://doi.org/https://doi.org/10.12890/2018_000942