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Lyme disease, a pathology secondary to infection by bacteria of the genus Borrelia, can present with erythema migrans and monoarticular or oligoarticular arthritis. The relationship between infection with this agent and Juvenile Idiopathic Arthritis has been already mentioned.In this paper, the case of a 6-year-old female child, seen at our outpatient clinic because of symptoms compatible with Lyme disease confirmed by a serological work-up, is described. Erythema migrans lesions disappeared with the appropriate antibiotic treatment. The resolution of joint symptoms was only transitory; chronic anti-inflammatory and immunosuppressant treatment was needed.In this case, the resolution of cutaneous symptoms and the persistence of chronic arthritis suggest that the strong likelihood of infection by has triggered Juvenile Idiopathic Arthritis.

Doença de Lyme e artrite idiopática juvenil – Relato de caso clínico pediátrico