Lyme disease in a neonate complicated by the Jarisch–Herxheimer reaction

Michael Prodanuk*, Helen Groves, Danielle Arje, Ari Bitnun

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)
22 Downloads (Pure)


In Canada, the incidence of Lyme disease among children is increasing, and the disease may be seen in neonates.

Early localized Lyme disease is a clinical diagnosis; serology at this stage of disease has poor sensitivity and is not routinely recommended.

Neonates with Lyme disease may be at higher risk for disseminated infection; health care providers should consider a full septic workup and intravenous antibiotics when managing these patients.

Initial antibiotic treatment of Lyme disease (and other spirochetal infections) may result in the Jarisch–Herxheimer reaction.
Original languageEnglish
Pages (from-to)E939-E941
JournalCMAJ. Canadian Medical Association Journal
Issue number27
Publication statusPublished - 18 Jul 2022
Externally publishedYes

ASJC Scopus subject areas

  • General Medicine


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