Last week, New York City (NYC) officials issued a health advisory, calling on physicians in the city to be on the alert for patients with tick-borne diseases, as the number of cases continues to rise. Since 2000, the number of tick-borne disease cases in NYC has steadily increased, with fluctuations from year to year. But between 2016 and 2017, cases of anaplasmosis and babesiosis more than doubled in all boroughs except Queens. And last year, the first case of anaplasmosis transmitted through a blood transfusion was reported in NYC.
A report published in Infection and Drug Resistance reviews the case of a 44-year-old woman who visited a neurological outpatient clinic in Japan complaining of fatigue and partial mouth paralysis. (She was unable to open her mouth.) The symptoms had persisted for 2 months.
A recent article, published in the journal Clinical Case Reports, describes the case of a 62-year-old man, from Norway, who was initially diagnosed with shingles, a viral infection which produces a painful skin rash with blisters in a localized area on the body.  Shingles, also known as herpes zoster, is common in older individuals who have had chickenpox.
Pseudotumor cerebri, also referred to as idiopathic intracranial hypertension, is a condition caused by elevated cerebrospinal fluid pressure in the brain. Symptoms can mimic a brain tumor, but in actuality there is no tumor. Instead, there is unexplained intracranial pressure in the head. The condition is rare in prepubertal children.
A recent article published in The American Journal of Cardiology highlights five cases in Canada involving Lyme carditis which manifest with high-degree atrioventricular block (AVB). The authors reviewed cases which occurred over a 2-year period at Kingston General Hospital in Ontario, Canada.
Numerous strains of Borrelia burgdorferi, the bacteria that causes Lyme disease, can exist in hosts living within the same geographic area, writes Bhatia, from Rocky Mountain Laboratories, in the journal PLOS Pathogens.  “Many different strains of B. burgdorferi are stably maintained in the same local population of infected wild animals and ticks.”
In a recent issue of PLOS One, Berende and colleagues describe the high cost to Netherlands patients for having persistent symptoms associated with Lyme disease. Productivity losses were significant. For the three study groups, the productivity losses over a one-year follow-up averaged 7,667, 7,858 and 9,392 euro’s with a range of 4,466 to 12,270 euro’s.
“Lyme endocarditis can be a challenging diagnosis to make, given the rarity of cases, inability to grow the organism in culture, and serologic testing that does not clearly distinguish between current and prior infection,” according to Paim and colleagues from the Division of Infectious Diseases at Mayo Clinic. 
How can doctors distinguish a case of Lyme arthritis of the hip from transient arthritis or septic arthritis (SA) in pediatric patients? A few findings from a recent review, published in the journal Cureus, may be helpful in making a correct diagnosis.
The number of humans and dogs in the New York metropolitan area exposed to Borrelia burgdorferi, the pathogen that causes Lyme disease, is staggering. According to Herrin and colleagues, authors of “Canine and human infection with Borrelia burgdorferi in the New York City metropolitan area,” approximately 22 million people live in the region. And one out of every three homes has one or more pet dogs.