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Lyme disease and herxheimer reaction in newborn
The Herxheimer reaction, also referred to as a Jarisch-Herxheimer reaction, is "a transient clinical phenomenon that occurs in patients infected by spirochetes who undergo antibiotic treatment."¹ It was first described in patients with syphilis but has also been associated with other spirochetal infections including leptospirosis, Lyme disease, and relapsing fever. The reaction is associated with the onset of new symptoms or a worsening of existing symptoms in patients receiving antibiotic treatment.
Successful removal of pacemakers in patients with Lyme carditis
Some patients with Lyme carditis may require a pacemaker for conduction abnormalities. In a recent study, investigators described the successful removal of pacemakers in two patients with Lyme carditis who recovered normal atrioventricular node conduction.
