Lyme disease misdiagnosed as shingles in a 62-year-old man

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. [1] Shingles, also known as herpes zoster, is common in older individuals who have had chickenpox.

Read More


When it looks like a brain tumor, but it is Lyme disease

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.

Read More


Five cases of Lyme carditis in Canada: multiple hospital visits to diagnose

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.

Read More


Re-infection with different B. burgdorferi strain can cause a super-infection in mice

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. [1] “Many different strains of B. burgdorferi are stably maintained in the same local population of infected wild animals and ticks.”

Read More


Netherlands patients pay a high price for having persistent symptoms associated with Lyme disease

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.

Read More


Lyme endocarditis in 68-year-old avid outdoorsman

“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. [1]

Read More


Diagnosing Lyme arthritis of the hip in children

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.

Read More


B. burgdorferi, the pathogen that causes Lyme disease is widespread in New York City metro area

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. [1]

Read More


Kentucky is swarming with deer ticks: over 50% of counties infested

According to a study by Lockwood and colleagues, from the University of Georgia, the deer tick (Ixodes scapularis) has been identified in 59 of 120 counties in Kentucky. [1] Having such data is critical since the deer tick can transmit not only Borrelia burgdorferi, the pathogen causing Lyme disease, but also B. mayonii, B. miyamotoi, Ehrlichia, Anaplasma, Powassan virus, Babesia odocoilei and Babesia microti.

Read More


“Hot spots” for blacklegged ticks found in Canada

The blacklegged tick (Ixodes Scapularis), otherwise known as the deer tick, has been expanding throughout Canada. The tick, which harbors Borrelia burgdorferi sensu stricto, the bacteria causing Lyme disease, is finding its way into new regions, thanks to climate change, according to Lieske and colleagues from Mount Allison University in New Brunswick, Canada. [1] Furthermore, milder winters and a rise in annual precipitation are contributing to the increase in the number of black-legged ticks.

Read More