Anterior and Posterior Uveitis Revealing Lyme Disease

Abstract

Lyme disease, a tick-borne spirochetal infection, often begins with a characteristic skin lesion, erythema chronicum migrans, which may be followed by neurologic, cardiac, ocular or joint abnormalities, ocular manifestations remain rare in Lyme disease. We report an original case of a 20-year-old female patient presenting with bilateral anterior and posterior uveitis with bilateral stage two papilledema associated with inflammatory arthralgias, in whom the etiological assessment revealed Lyme disease that responded well to treatment. This observation highlights the importance of investigating Lyme disease in cases of unexplained ocular involvement to initiate antibiotic treatment in order to prevent severe and late manifestations of the disease.