Lyme disease is the most common tick-borne illness in North America and Europe, and Lyme arthritis is a frequent late-stage manifestation in the United States. However, Lyme arthritis has rarely been reported as a postoperative complication.
Evidence Acquisition:
The PubMed database was queried through June 2018, and restricted to the English language, in search of relevant articles.
Study Design:
Clinical review.
Level of Evidence:
Level 3.
Results:
A total of 5 cases of Lyme arthritis as a postoperative complication have been reported in the literature.
Conclusion:
These cases highlight the importance for providers practicing in Lyme-endemic regions to keep such an infection in mind when evaluating postoperative joint pain and swelling. We propose herein an algorithm for the workup of potential postoperative Lyme arthritis.
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