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Anaplasmosis leading to neurological symptoms of trigeminal neuralgia
Anaplasmosis, formerly called human granulocytic anaplasmosis (HGA) is a co-infection from a tick that typically causes acute disease. In their article, "Trigeminal Neuralgia As the Principal Manifestation of Anaplasmosis: A Case Report," LeDonne and colleagues described human granulocytic anaplasmosis in an 80-year-old woman with neurological symptoms. [1]
Lyme disease with bilateral facial palsy, formally known as Bell’s palsy
Bell’s palsy has been described as an early complication of Lyme disease. Doctors have since reserved the term Bell’s palsy for facial nerve palsy due to a virus. More recently doctors use the term facial palsy in patients diagnosed with Lyme disease.
Unilateral knee swelling in a child due to Lyme disease
In their case report, “Pediatric unilateral knee swelling: a case report of a complicated differential diagnosis and often overlooked cause,” Guardado et al. describe a 3-year-old girl who presented to a hospital in Pennsylvania after two weeks of limping from a swollen right knee.¹
Optic neuritis associated with Lyme disease
In their article, “Characteristics of Lyme optic neuritis: a case report of Lyme associated bilateral optic neuritis and systematic review of the literature,” Lu et al. present a rare case of isolated bilateral optic neuritis in a Lyme disease patient. [1] (Optic neuritis is an inflammation of the eye's optic nerve.)
Lyme disease triggers vertigo and hearing loss
Vertigo (spinning sensation or feeling off balance) and hearing loss have been reported in several studies as symptoms of Lyme disease. One study found 4 out of 27 patients with neurologic Lyme disease experienced hearing loss.¹ Vertigo was reported in 5 out of 8 Lyme disease patients (62.5%) by Selmani et al.² Additionally, investigators suggest that vertigo can be the predominant symptom in patients with confirmed Lyme disease -- its symptoms resembling neuronitis vestibularis in the acute stage.³
Clinicians had difficulties identifying ticks
Dr. Cameron discusses findings from a recent study which examined the proficiency of clinicians at identifying ticks in the northeastern region of the United States.
Lower socioeconomic status: a risk factor for disseminated Lyme disease
Some individuals suffer from disseminated and chronic manifestations of Lyme disease, and some do not. In their article, “Risk factors for Lyme disease stage and manifestation using electronic health records,” Moon and colleagues look at risk factors for disseminated Lyme disease. [1]
Prior trauma may worsen symptom severity of Lyme disease
Lyme disease can lead to severe symptoms in some individuals. In their study, “Psychological factors in the prediction of Lyme disease course,” Mustafiz and colleagues examined whether prior trauma may worsen the severity of symptoms for Lyme disease. [1]
POTS similarities seen in Long-COVID and Lyme disease
Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this podcast, I will discuss the American Autonomic Society’s statement on Long-COVID postural tachycardia syndrome.[1]
Child with Lyme disease diagnosed with radiculopathy
“Among the signs and the symptoms connected to the presence of neuropathic pain are allodynia (pain due to a stimulus that does not normally provoke pain), hyperalgesia (an increase in the perception of pain generated by a stimulus that causes pain), and paresthesia (a condition that determines the perception of anomalous sensations comparable to needle bites, tingling, itching, reduced, or even loss of sensitivity),” wrote Cavalli and colleagues in the International Journal of Immunopathology and Pharmacology. [1]
