6-year-old girl with a rare cutaneous presentation of Lyme disease

The authors of a case report published in Pediatric Dermatology discuss a rare cutaneous presentation of Lyme disease in a young child. “We report the case of a girl who was clinically diagnosed with Lyme disease based on her history of recent travel and the appearance of an areolar lymphocytoma; this was confirmed by testing,” writes Ogimi from the University of Washington and Seattle Children’s Hospital. [1]

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Study shows doctors can misdiagnose Lyme disease

Diagnosing Lyme disease can be extremely challenging as the disease mimics many other illnesses and testing is not always accurate. The authors of a new study, Accuracy of Clinician Suspicion of Lyme Disease in the Emergency Department, discovered this firsthand as they examined “the accuracy of clinician suspicion for Lyme disease in children undergoing evaluation for Lyme disease.” [1]

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Single dose of doxycycline for Lyme disease leads to poor outcome for 61-year-old man

Ever wonder what the outcome might be if a patient were prescribed a single dose of oral doxycycline for Lyme disease? Not so good, according to a case report by Ebner and colleagues from the Mayo Clinic in Rochester, Minnesota. [1]

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Ticks and Lyme disease bacteria with us since the Ice Age

Until now, scientists have known little about the evolutionary history of Borrelia burgdorferi, the causative agent of Lyme disease. This lack of knowledge “limits our ability to track and predict the direction of ongoing spread and implement public health interventions,” state the authors of a new study “Genomic insights into the ancient spread of Lyme disease across North America.” [1]

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Lyme patient fails to seek treatment until illness renders him unconscious

“Despite weeks of symptoms, a patient did not seek treatment until his illness rendered him unconscious,” writes Sharma from the Department of Cardiovascular Medicine at Lahey Hospital Medical Center in Massachusetts.

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Tracking ticks in West Virginia using man’s best friend

Dogs can be effective sentinels in assessing the risks of Lyme disease to humans in non-endemic regions. “Domestic pets, such as dogs, are significant risk factors for disease acquisition, and six times more likely to be exposed to infected ticks due to the increased potential exposure time in tick habitat,” explains Hendricks and colleagues in the journal Geospatial Health. [1]

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Borrelia spirochete are masters at evading immune system

If the Borrelia spirochete were actively dividing and spreading during infection, it would be easier to detect Lyme disease and possibly diagnose it earlier, says Embers and colleagues. [1] “Bacterial pathogens are well known to cause tissue damage by colonization, induction of intense inflammation, invasion of host cells, and production of toxins.”

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Case report: Persistent pain and fatigue after treatment for Lyme disease

“A previously healthy 48-year-old woman living in rural Maryland presented in early June with a 2-week history of neck pain, fatigue, anorexia, nausea, and intermittent fevers and chills,” states Novak from the Division of Rheumatology at Johns Hopkins University School of Medicine.

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Case review: 80-year-old with Lyme encephalopathy instead of dementia

“An 80-year-old patient was admitted to the hospital after a fall, and subsequently developed an acute confused state requiring transfer to a neuropsychiatric unit,” writes Karrasch and colleagues in the journal Ticks and Tick-borne Diseases. [1]

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Year in Review: All Things Lyme: Top 10 blogs for 2017

by Daniel J. Cameron, MD, MPH Following is a list of the most popular All Things Lyme blogs for 2017. Click on the headline to read the complete article. 1) 12-year-old boy suffers cardiac arrest due to Lyme disease In the February 2017 issue of HeartRhythm Case Reports, doctors describe what they believe is the first case of a Lyme disease patient presenting as fulminant myocarditis and cardiac arrest. “The patient is a 12-year-old previously healthy boy with a recent history of participation in an outdoor camp for 2–3 weeks who began to gasp for air while ...

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