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The Journal of the American Board of Family Medicine 22 (4): 408-411 (2009)
DOI: 10.3122/jabfm.2009.04.080262
© 2009 American Board of Family Medicine
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Brief Report

One Presentation, Two Continents: Left Wrist Myositis of Distinct Etiology in Genetically Similar Individuals

William Murdoch, MD and Frederick C. Rosin, MD

From the Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI

Correspondence: Corresponding author: William Murdoch, MD, WSU/Crittenton Family Medicine Residency Program, 1135 W. University Dr., Ste. #250, Rochester Hills, MI 48307 (E-mail: bmurdoch{at}med.wayne.edu)

A 34-year-old man presented with a 5-day history of rapid onset weakness of the left wrist flexor muscles, associated with fever, sore throat, arthralgias, and myalgias. A literature review to answer the question, "What could cause focal muscle weakness, fever, and myalgias?" yielded several case reports describing initial presentations of polymyositis or unusual presentations of various infectious agents. Interestingly, the man in our case had a cousin in France, with whom he had no recent contact, who presented with the same symptoms approximately 3 months earlier. Because of our patient's recent travel history, testing was performed for Lyme disease, confirming our diagnosis. The man's cousin, however, had been similarly tested and was found negative for Lyme disease.


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A. V. Neale and M. A. Bowman
Fourth Journal of the American Board of Family Medicine Practice-based Research Theme Issue
J Am Board Fam Med, July 1, 2009; 22(4): 343 - 345.
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