Lyme disease and radiologic findings in lyme arthritis

Lyme disease typically begins in the spring or summer months, with a pathognomonic skin lesion and associated flulike or meningitislike symptoms [1]. If the patient is not treated during this early stage, cardiac, neurologic, or musculoskeletal manifestations may occur weeks to months later [2]. Although the clinical picture of Lyme disease is extremely variable, the diagnosis can be made in most cases by recognizing the typical patterns of organ involvement and associated immunologic abnormalities [3].