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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do These Synovial Test Numbers For Lyme Disease Indicate?

I have had knee trouble for the past year. The orthopedic doctor drained my knee this morning and sent me for a lyme test as well. She is thinking it is definitely lyme due to my environment and symptoms. I have already got my synovial fluid number back and am really curious about what they mean. WBC(synovial fluid drawn from knee) 21140/ul - Lymphocytes 11% - Monocytes 9% - neutrocytes 80%. Can I assume there is some kind of infection...probably lyme???
Wed, 4 Sep 2019
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General & Family Physician,  's  Response
Hi,

First of all, it's sad to know what you had been going through lately. Based on the history you have shared, it can be septic arthritis due to any bacterial infection and Lyme or any other spirochete infection or Chlamydial arthritis is a possibility, but cultures may be done and prophylactic antibiotics may be started meanwhile.

IV antibiotics may also be needed. anti-inflammatory drugs like acetaminophen or Ibuprofen can be used.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Saddiq Ulabidin, General & Family Physician
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What Do These Synovial Test Numbers For Lyme Disease Indicate?

Hi, First of all, it s sad to know what you had been going through lately. Based on the history you have shared, it can be septic arthritis due to any bacterial infection and Lyme or any other spirochete infection or Chlamydial arthritis is a possibility, but cultures may be done and prophylactic antibiotics may be started meanwhile. IV antibiotics may also be needed. anti-inflammatory drugs like acetaminophen or Ibuprofen can be used. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Saddiq Ulabidin, General & Family Physician