Childhood XXXX : experience in an endemic area.

@entity1 @entity3001 @entity625 @entity1910 @entity5414 @entity912 @entity603 @entity8831 @entity12013 @entity5864 @entity309
We report 25 @entity1 with oligoarticular @entity625 associated with @entity3001 . There were 16 @entity1 (male/female ratio 1.8:1); ages ranged from 2 to 15 years. Thirteen (52%) @entity1 had no history of erythema chronicum @entity8831 or other @entity1910 . Thirteen had temperatures as high as 41 degrees C for up to 2 months before the onset of @entity625 . Twelve recalled @entity5864 . Ten (40%) @entity1 , of whom seven had no history of @entity1910 , were hospitalized for presumed @entity5414 . Another four had diagnoses of @entity12013 juvenile @entity309 for as long as 3 years. Seven @entity1 had less acute, recurrent episodes of @entity603 . Two @entity1 had seventh nerve @entity912 2 months before onset of @entity625 . All patients had antibodies to the Lyme spirochete. In 14 @entity1 , synovial fluid white blood cell counts ranged from 180 to 97,700/mm3 (greater than or equal to 76% polymorphonuclear leukocytes). Antibiotic therapy was effective in all @entity1 ; in 13, orally administered therapy alone resulted in elimination of @entity603 and recurrent attacks. @entity625 may be confused with acute @entity5414 or recurrent " @entity12013 juvenile @entity309 ," particularly when there is no history of erythema chronicum @entity8831 .
