{"id":"https://openalex.org/W2019926041","doi":"https://doi.org/10.1542/peds.112.6.e477","title":"Lyme Disease Presenting With Persistent Headache","display_name":"Lyme Disease Presenting With Persistent Headache","publication_year":2003,"publication_date":"2003-12-01","ids":{"openalex":"https://openalex.org/W2019926041","doi":"https://doi.org/10.1542/peds.112.6.e477","mag":"2019926041","pmid":"https://pubmed.ncbi.nlm.nih.gov/14654649"},"language":"en","primary_location":{"id":"doi:10.1542/peds.112.6.e477","doi":"https://doi.org/10.1542/peds.112.6.e477","is_oa":false,"landing_page_url":"https://doi.org/10.1542/peds.112.6.e477","pdf_url":null,"source":{"id":"https://openalex.org/S77494981","display_name":"PEDIATRICS","issn_l":"0031-4005","issn":["0031-4005","1098-4275"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315734","host_organization_name":"American Academy of Pediatrics","host_organization_lineage":["https://openalex.org/P4310315734"],"host_organization_lineage_names":["American Academy of Pediatrics"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5020530741","display_name":"James M Moses","orcid":"https://orcid.org/0000-0002-5366-7816","observed_orcids":["https://orcid.org/0000-0002-5366-7816"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"James M. Moses","raw_affiliation_strings":["From the Department of Medicine, Children\u2019s Hospital Boston, Harvard Medical School, Boston, Massachusetts","Department of Medicine, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts 32115, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Medicine, Children\u2019s Hospital Boston, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1288882113","https://openalex.org/I136199984"]},{"raw_affiliation_string":"Department of Medicine, Children's Hospital Boston, Harvard Medical School, Boston, Massachusetts 32115, USA","institution_ids":["https://openalex.org/I1288882113","https://openalex.org/I136199984"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054218292","display_name":"Robyn S. Riseberg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Robyn S. Riseberg","raw_affiliation_strings":["From the Department of Medicine, Children\u2019s Hospital Boston, Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Medicine, Children\u2019s Hospital Boston, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1288882113","https://openalex.org/I136199984"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5030118245","display_name":"Jonathan M. Mansbach","orcid":"https://orcid.org/0000-0002-9176-0325","observed_orcids":["https://orcid.org/0000-0002-9176-0325"]},"institutions":[{"id":"https://openalex.org/I1288882113","display_name":"Boston Children's Hospital","ror":"https://ror.org/00dvg7y05","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1288882113"]},{"id":"https://openalex.org/I136199984","display_name":"Harvard University","ror":"https://ror.org/03vek6s52","country_code":"US","type":"education","lineage":["https://openalex.org/I136199984"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jonathan M. Mansbach","raw_affiliation_strings":["From the Department of Medicine, Children\u2019s Hospital Boston, Harvard Medical School, Boston, Massachusetts"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"From the Department of Medicine, Children\u2019s Hospital Boston, Harvard Medical School, Boston, Massachusetts","institution_ids":["https://openalex.org/I1288882113","https://openalex.org/I136199984"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.267,"has_fulltext":false,"cited_by_count":15,"citation_normalized_percentile":{"value":0.50333381,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"112","issue":"6","first_page":"e477","last_page":"e479"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10296","display_name":"Vector-borne infectious diseases","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2405","display_name":"Parasitology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},"topics":[{"id":"https://openalex.org/T10296","display_name":"Vector-borne infectious diseases","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2405","display_name":"Parasitology"},"field":{"id":"https://openalex.org/fields/24","display_name":"Immunology and Microbiology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T13201","display_name":"Infectious Encephalopathies and Encephalitis","score":0.0010000000474974513,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11929","display_name":"Cerebral Venous Sinus Thrombosis","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/lyme-disease","display_name":"Lyme disease","score":0.9940000176429749},{"id":"https://openalex.org/keywords/neuroborreliosis","display_name":"neuroborreliosis","score":0.9829999804496765},{"id":"https://openalex.org/keywords/intracranial-hypertension","display_name":"intracranial hypertension","score":0.9750000238418579},{"id":"https://openalex.org/keywords/persistent-headache","display_name":"persistent headache","score":0.9700000286102295},{"id":"https://openalex.org/keywords/csf-pleocytosis","display_name":"cerebrospinal fluid pleocytosis","score":0.9520000219345093},{"id":"https://openalex.org/keywords/blindness","display_name":"blindness","score":0.5370000004768372}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.963172435760498},{"id":"https://openalex.org/C2777553296","wikidata":"https://www.wikidata.org/wiki/Q201989","display_name":"Lyme disease","level":2,"score":0.8323737382888794},{"id":"https://openalex.org/C2777483564","wikidata":"https://www.wikidata.org/wiki/Q749881","display_name":"Pleocytosis","level":3,"score":0.6845705509185791},{"id":"https://openalex.org/C2780636500","wikidata":"https://www.wikidata.org/wiki/Q6708259","display_name":"Lymphocytic pleocytosis","level":4,"score":0.6143813133239746},{"id":"https://openalex.org/C2776307562","wikidata":"https://www.wikidata.org/wiki/Q15968355","display_name":"LYME","level":4,"score":0.6135640144348145},{"id":"https://openalex.org/C2780580376","wikidata":"https://www.wikidata.org/wiki/Q186889","display_name":"Nausea","level":2,"score":0.5986477136611938},{"id":"https://openalex.org/C2780852908","wikidata":"https://www.wikidata.org/wiki/Q127076","display_name":"Vomiting","level":2,"score":0.5853677988052368},{"id":"https://openalex.org/C2780954326","wikidata":"https://www.wikidata.org/wiki/Q1416096","display_name":"Intracranial pressure","level":2,"score":0.5468267798423767},{"id":"https://openalex.org/C2777147708","wikidata":"https://www.wikidata.org/wiki/Q819124","display_name":"Neuroborreliosis","level":4,"score":0.52821284532547},{"id":"https://openalex.org/C2909292722","wikidata":"https://www.wikidata.org/wiki/Q749881","display_name":"CSF pleocytosis","level":3,"score":0.49316614866256714},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.4914137125015259},{"id":"https://openalex.org/C2909216522","wikidata":"https://www.wikidata.org/wiki/Q819124","display_name":"Lyme Neuroborreliosis","level":4,"score":0.4354611933231354},{"id":"https://openalex.org/C2779651940","wikidata":"https://www.wikidata.org/wiki/Q54196","display_name":"Cerebrospinal fluid","level":2,"score":0.41076505184173584},{"id":"https://openalex.org/C2779159148","wikidata":"https://www.wikidata.org/wiki/Q2723634","display_name":"Borrelia burgdorferi","level":3,"score":0.3954460322856903},{"id":"https://openalex.org/C2781026528","wikidata":"https://www.wikidata.org/wiki/Q48143","display_name":"Meningitis","level":2,"score":0.3522866368293762},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.3407557010650635},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.28740811347961426},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.16146647930145264},{"id":"https://openalex.org/C83455156","wikidata":"https://www.wikidata.org/wiki/Q199615","display_name":"Encephalitis","level":3,"score":0.12882202863693237},{"id":"https://openalex.org/C159654299","wikidata":"https://www.wikidata.org/wiki/Q79460","display_name":"Antibody","level":2,"score":0.0},{"id":"https://openalex.org/C2522874641","wikidata":"https://www.wikidata.org/wiki/Q808","display_name":"Virus","level":2,"score":0.0}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002908","descriptor_name":"Chronic Disease","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006261","descriptor_name":"Headache","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007427","descriptor_name":"Intracranial Pressure","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007964","descriptor_name":"Leukocytosis","qualifier_ui":"Q000134","qualifier_name":"cerebrospinal fluid","is_major_topic":false},{"descriptor_ui":"D008193","descriptor_name":"Lyme Disease","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D008193","descriptor_name":"Lyme Disease","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D009325","descriptor_name":"Nausea","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009901","descriptor_name":"Optic Nerve Diseases","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D014839","descriptor_name":"Vomiting","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1542/peds.112.6.e477","doi":"https://doi.org/10.1542/peds.112.6.e477","is_oa":false,"landing_page_url":"https://doi.org/10.1542/peds.112.6.e477","pdf_url":null,"source":{"id":"https://openalex.org/S77494981","display_name":"PEDIATRICS","issn_l":"0031-4005","issn":["0031-4005","1098-4275"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","dongbi-a","doyens","erih-plus","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315734","host_organization_name":"American Academy of Pediatrics","host_organization_lineage":["https://openalex.org/P4310315734"],"host_organization_lineage_names":["American Academy of Pediatrics"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"journal-article"},{"id":"pmid:14654649","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/14654649","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Pediatrics","raw_type":"Case Reports"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.98580002784729,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":39,"referenced_works":["https://openalex.org/W42518607","https://openalex.org/W136108882","https://openalex.org/W176031110","https://openalex.org/W202889366","https://openalex.org/W1585340447","https://openalex.org/W1605353467","https://openalex.org/W1973082917","https://openalex.org/W1975993214","https://openalex.org/W1984759130","https://openalex.org/W1988690896","https://openalex.org/W1990003927","https://openalex.org/W1992758972","https://openalex.org/W1993119246","https://openalex.org/W1996196701","https://openalex.org/W1999284625","https://openalex.org/W2003513533","https://openalex.org/W2015093497","https://openalex.org/W2016995212","https://openalex.org/W2018607944","https://openalex.org/W2029469860","https://openalex.org/W2044636190","https://openalex.org/W2056928021","https://openalex.org/W2068838052","https://openalex.org/W2078043209","https://openalex.org/W2080590602","https://openalex.org/W2082362047","https://openalex.org/W2096445893","https://openalex.org/W2158802020","https://openalex.org/W2160486340","https://openalex.org/W2171685298","https://openalex.org/W2325020298","https://openalex.org/W2396532607","https://openalex.org/W2410946394","https://openalex.org/W4206485027","https://openalex.org/W4232462786","https://openalex.org/W4238776097","https://openalex.org/W4240350321","https://openalex.org/W6606061519","https://openalex.org/W6607193929"],"related_works":["https://openalex.org/W7164156229","https://openalex.org/W2895004267","https://openalex.org/W2233486408","https://openalex.org/W4240350321","https://openalex.org/W4390498554","https://openalex.org/W2053775080","https://openalex.org/W2163915456","https://openalex.org/W2795034737","https://openalex.org/W2052957434","https://openalex.org/W1930398478"],"abstract_inverted_index":{"Increased":[0],"intracranial":[1,37,54,90],"pressure":[2,55],"in":[3,56,83],"patients":[4,17,77],"with":[5,25,58,79],"Lyme":[6,19,46,74],"disease":[7,75],"is":[8,68],"an":[9],"uncommon":[10],"but":[11],"reported":[12],"finding.":[13],"We":[14],"discuss":[15],"2":[16],"from":[18],"endemic":[20,65],"areas":[21],"who":[22,85],"initially":[23],"presented":[24],"headache,":[26,81],"nausea,":[27],"and":[28,30,44],"vomiting":[29],"were":[31],"eventually":[32],"found":[33],"to":[34,62,72],"have":[35,86],"increased":[36,53,89],"pressure,":[38],"a":[39],"mild":[40],"cerebrospinal":[41],"fluid":[42],"pleocytosis,":[43],"positive":[45],"titers.":[47],"It":[48],"has":[49],"been":[50],"shown":[51],"that":[52],"association":[57],"neuroborreliosis":[59],"can":[60],"lead":[61],"blindness.":[63],"In":[64],"areas,":[66],"it":[67],"important":[69],"for":[70],"practitioners":[71],"consider":[73],"when":[76],"present":[78],"persistent":[80],"especially":[82],"those":[84],"evidence":[87],"of":[88],"pressure.":[91]},"counts_by_year":[{"year":2025,"cited_by_count":2},{"year":2024,"cited_by_count":1},{"year":2021,"cited_by_count":2},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2016,"cited_by_count":1},{"year":2013,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
