9 ways COVID-19 and Lyme disease can look alike
COVID-19 and Lyme disease are two different diseases. Yet, COVID-19 and Lyme disease can look alike. There are 9 symptoms of COVID-19 that are also seen in Lyme disease.
In the article, “Neurologic Findings Among Inpatients with COVID-19 at a Safety-Net U.S. Hospital,” Anand and colleagues described the symptoms and clinical presentations of 74 individuals with confirmed COVID-19.  The patients were seen for neurology consults while hospitalized or within a month of hospitalization.
The authors described 9 symptoms in their COVID-19 patients that have also been reported in Lyme disease. These include:
- Altered mental status
- Gait instability
- Loss of consciousness
- Anosmia (loss of smell)
In addition, the authors also described a number of clinical presentations in their COVID-19 patients that have been described in Lyme disease. These include:
- Ischemic stroke
- Primary movement disorder
- Peripheral neuropathy
- Traumatic brain injury
“The majority of patients did not require critical care, suggesting that neurologic complications may be common in patients with moderate COVID-19 as well as those with severe disease,” wrote Anand and colleagues.
Doctors should consider both Lyme disease and COVID in patients with these symptoms and clinical presentations to avoid delayed treatment.
- Anand PZ, L. Bhadelia, N. Hamer, D.H. Greer, D.M. Cervantes-Arslanian, A.M. . Neurologic Findings Among Inpatients with COVID-19 at a Safety-Net U.S. Hospital. . Neurology: Clinical Practice 2020;doi:10.1097/CEH.0000000000000103
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