66-year-old woman with acute kidney failure associated with Lyme disease

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I will be discussing the case of a 66-year-old woman who ignored a Bull's eye rash, indicative of Lyme disease, and later developed acute renal failure.

This case was described by Mishra and colleagues  in the American Journal of Medicine .

She presented with a tick bite followed by a rash.  She ignored the tick bite and rash.

A month later she developed acute renal failure.  Her renal functions improved following hydration, antibiotics, and discontinuation of her losartan and nonsteroidal anti-inflammatory drugs,” the authors explain. 

Renal failure has been described in dogs but not in people.  The renal failure could have been related to other factors. Ignoring a tick and rash for a month could not have helped.

1. Mishra AK, Hashmath Z, Oneyssi I, Bose A. Disseminated Erythema Migrans. Am J Med. 2020 Feb 13. pii: S0002-9343(20)30114-5.  For free access to case report.  https://pubmed.ncbi.nlm.nih.gov/32061730/

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 Dr. Cameron is a Lyme disease expert and the author “Inside Lyme: An expert's guide to the science of Lyme disease.” He has been treating adolescents and adults for more than 30 years.

Please remember that the advice given is general and not intended as specific advice as to any particular patient. If you require specific advice, then please seek that advice from an experienced professional.