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Severe Hyperbilirubinemia: A Rare Complication of Lyme Disease.
Case Rep Gastrointest Med. 2019; 2019:2762389.CR

Abstract

Gastrointestinal signs and symptoms are common in the early stages of Lyme disease. However, hyperbilirubinemia from Lyme disease is extremely uncommon. There are only two case reports in literature attributing Lyme disease to hyperbilirubinemia. Here we report a case of severe hyperbilirubinemia as the presenting symptom of Lyme disease. Other plausible etiologies have been ruled out after extensive workups, including liver biopsy. His hyperbilirubinemia gradually resolved after being started on doxycycline. With high incidence of Lyme disease, it should be considered for patients who present with hyperbilirubinemia in endemic areas with possible tick exposure.

Authors+Show Affiliations

Internal Medicine Residency Program, Inspira Medical Center in Vineland, Vineland, NJ 08360, USA.Division of Hospital Medicine, Department of Medicine, Cooper Medical School of Rowan University, Camden, NJ 08103, USA.Division of Hospital Medicine, Department of Medicine, Cooper Medical School of Rowan University, Camden, NJ 08103, USA.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31956450

Citation

Baig, Maarij, et al. "Severe Hyperbilirubinemia: a Rare Complication of Lyme Disease." Case Reports in Gastrointestinal Medicine, vol. 2019, 2019, p. 2762389.
Baig M, Zheng L, Farmer A. Severe Hyperbilirubinemia: A Rare Complication of Lyme Disease. Case Rep Gastrointest Med. 2019;2019:2762389.
Baig, M., Zheng, L., & Farmer, A. (2019). Severe Hyperbilirubinemia: A Rare Complication of Lyme Disease. Case Reports in Gastrointestinal Medicine, 2019, 2762389. https://doi.org/10.1155/2019/2762389
Baig M, Zheng L, Farmer A. Severe Hyperbilirubinemia: a Rare Complication of Lyme Disease. Case Rep Gastrointest Med. 2019;2019:2762389. PubMed PMID: 31956450.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Severe Hyperbilirubinemia: A Rare Complication of Lyme Disease. AU - Baig,Maarij, AU - Zheng,Lin, AU - Farmer,Alka, Y1 - 2019/12/24/ PY - 2019/10/13/received PY - 2019/12/05/accepted PY - 2020/1/21/entrez PY - 2020/1/21/pubmed PY - 2020/1/21/medline SP - 2762389 EP - 2762389 JF - Case reports in gastrointestinal medicine JO - Case Rep Gastrointest Med VL - 2019 N2 - Gastrointestinal signs and symptoms are common in the early stages of Lyme disease. However, hyperbilirubinemia from Lyme disease is extremely uncommon. There are only two case reports in literature attributing Lyme disease to hyperbilirubinemia. Here we report a case of severe hyperbilirubinemia as the presenting symptom of Lyme disease. Other plausible etiologies have been ruled out after extensive workups, including liver biopsy. His hyperbilirubinemia gradually resolved after being started on doxycycline. With high incidence of Lyme disease, it should be considered for patients who present with hyperbilirubinemia in endemic areas with possible tick exposure. SN - 2090-6528 UR - https://www.unboundmedicine.com/medline/citation/31956450/Severe_Hyperbilirubinemia:_A_Rare_Complication_of_Lyme_Disease_ L2 - https://dx.doi.org/10.1155/2019/2762389 DB - PRIME DP - Unbound Medicine ER -
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