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Case Report
Acute Borrelia burgdorferi infection in pregnancy
1 Resident, Obstetrics and Gynecology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, United States of America
2 Assistant Professor, Maternal Fetal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, United States of America
3 Fellow, Maternal Fetal Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, United States of America
Address correspondence to:
Stephen Senthan Rasiah
507 Huxley Drive, Hummelstown, PA 17036,
United States of America
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Article ID: 100061Z06SR2019
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How to cite this article
Rasiah SS, Condon N, O’Brien JM. Acute Borrelia burgdorferi infection in pregnancy. Case Rep Int 2019;8:100061Z06SR2019.ABSTRACT
Introduction: There is a paucity of information regarding the potential complications and sequelae regarding intrauterine exposure to Borrelia burgderfori. Borrelia infection continues to be of increasing concern, with endemic regions now spanning the United States, and a continual increase in the number of documented cases of infection annually.
Case Report: A 26-year-old gravida 1 para 0 who presented at 21 weeks 2 days gestational age to her primary care provider and was diagnosed and treated for a right knee Lyme monoarthritis. Antenatal course was complicated with fetal growth restriction and concern for a congenital cardiac malformation. The patient underwent induction of labor and delivered a viable male infant at 39 weeks. The patient had an uncomplicated postpartum course and was discharged home on postpartum day two. She followed up with her rheumatology providers at three months and showed improvement in her right knee Lyme monoarthritis. Her neonate underwent an echocardiogram following delivery which showed a small atrial septal defect, patent ductus arteriosus, patent foramen ovale, and a pericardial effusion. Repeat echocardiogram was performed at three months of age and showed resolution of those abnormalities and no evidence of any other cardiac abnormalities. The infant is currently meeting all expected developmental milestones.
Conclusion: There remains a gap in knowledge regarding the potential adverse maternal, fetal, and neonatal outcomes that can result from acute infection with Borrelia burgdorferi. Given the potential for severe sequelae, providers must be aware of the appropriate treatment regimens for these patients during pregnancy, especially in endemic areas.
Keywords: Borrelia burgdorferi, Lyme, Pregnancy
SUPPORTING INFORMATION
Author Contributions
Stephen Senthan Rasiah - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Niamh Condon - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
James Michael O’Brien - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Stephen Senthan Rasiah et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
