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Lyme Disease Presenting as Popliteal Cyst in Children

Magee, Trevor H. MD*; Segal, Lee S. MD*†; Ostrov, Barbara MD; Groh, Brandt MD; Vanderhave, Kelly L. MD*

doi: 10.1097/01.bpo.0000242430.91489.fd
Infection: Original Article

Lyme disease is the most common tick-borne disease in North America. Our review of the literature found few reports of Lyme disease presented in the orthopaedic literature. However, Lyme disease presenting as a popliteal cyst, with or without rupture, is rarely reported. We present 4 cases of Lyme disease that initially presented to our pediatric orthopaedic clinic for treatment of a popliteal cyst. The early diagnosis and treatment of Lyme disease may help prevent the often-devastating long-term sequelae of Lyme disease. The goal of this article is to increase the awareness of Lyme disease presenting in children as a popliteal cyst.

From the *Department of Orthopaedics and Rehabilitation, †Divesion of Pediatric Orthopaedics, ‡Pediatric Rheumatology and Rheumatology, Milton S. Hershey Medical Center, The Pennsylvania State University College of Medicine, Hershey, PA.

None of the authors received financial support for this study.

Reprints: Trevor Hancock Magee, MD, Penn State Milton S. Hershey Medical Center, 500 University Dr, Hershey, PA 17033. E-mail:

© 2006 Lippincott Williams & Wilkins, Inc.