An Unusual Case of Serologically Confirmed Post-Partum Lyme Disease Following an Asymptomatic <i>Borrelia burgdorferi</i> Infection Acquired during Pregnancy and Lacking Vertical Transmission in Utero

oleh: Charles S. Pavia, Maria M. Plummer, Alena Varantsova

Format: Article
Diterbitkan: MDPI AG 2024-02-01

Deskripsi

In this report, we describe a 23-year-old female who, while pregnant, was exposed to <i>Borrelia burgdorferi</i> but did not develop significant signs or symptoms (joint pain, arthritis) of Lyme disease until shortly after delivering a healthy child at term. Serologic testing confirmed infection with <i>B. burgdorferi</i>. A 3-week course of treatment with doxycycline was completely curative. There was no evidence for congenital or perinatal transmission of this pathogen at any point pre-term or postnatally. The key reasons that could account for this unique clinical scenario are discussed in the context of previously published related reports.