Alina T
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Topics: 17
Posts: 388
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43 Y.O. WOMAN W/ Hx OF CHRONIC ARTHRITIS INVOLVING LEFT SHOULDER. SUDDENLY DEVELOPS PAIN IN RIGHT KNEE+ANKLE, WHICH RESOLVE.
Rx OF LEFT SHOULDER: EXTENSIVE EROSION OF HUMERAL HEAD.
BIO OF SYNOVIUM: MARKED LYMPHOPLASMACYTIC INFILTRATE + ARTERITIS W/ ENDOTHELIAL PROLIFERATION
MOST LIKELY RESPONSIBLE AGENT:
A. GROUP B STREP
B. NEISSERIA GONORRHOEAE
C. TREPONEMA PALLIDUM
D. BORELLIA BURGDORFERI
E. MYCOBACTERIUM TB
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| mani
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D. BORELLIA BURGDORFERI
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| mash
Forum Fanatic
Topics: 147
Posts: 1,326
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C treponema pallidum
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I hear and I forget. I see and I remember. I do and I understand.
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| Ahab
Forum Elite
Topics: 9
Posts: 228
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Treponema pallidum, causes endarteretits obliterans. Seems wierd that these are her only symptoms though
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| Alina T
Forum Elite
Topics: 17
Posts: 388
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yes Mash and Ahab, this is exactly what i answered to that q also!!
i was kinda surprised to read that it is actually STAGE 3 LYME DISEASE (2-3 yrs after the tick bite.)
source: Robbins review.
I think this is the only source i found which describes the morphopath characteristics of Lyme arthritis.
Characteristic of syphilis arthritis is the gummatous necrosis.
Congratulations mani!! 
All the best to all.
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There are 3 types of people: those who make things happen, those who watch things happen, and those who wonder what happened.
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| mani
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here is my "secret" that led me to the answer: B burgdorferi proliferates in the endolium, thats why there is endothelial change described in the stem.
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