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Laurie Martin

Laurie Martin
Patient receiving disulfiram for Lyme disease.

Use of disulfiram for Lyme disease

Disulfiram was initially marketed in the U.S. as Antabuse as an alcohol sobriety aid which deters alcohol consumption by eliciting physical discomforts (e.g., headache, nausea, hypotension). It’s use as a possible treatment for Lyme disease has been described in several recent studies. Borrelia burgdorferi, the bacteria responsible for Lyme disease, possesses survival strategies in humans. […]

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Man with neurological symptoms from babesiosis sitting on hospital bed.

Neurological manifestations of Babesiosis

Individuals with babesiosis can experience fevers, chills, myalgias, anorexia, headache, nausea, and vomiting. According to the authors, “The least common are shortness of breath, sore throat, neck stiffness, emotional lability, photophobia, and dark urine.” In their study entitled “Atypical Presentation of Babesiosis With Neurological Manifestations as Well as Hematological Manifestations,”  the authors summarize two cases

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Newborn infant in hospital bed.

Mother describes challenges in getting treatment for newborn with Lyme disease

The mother saw a tick on her newborn daughter. “Three days later, she was very sleepy and hard to rouse,” the mother wrote. The infant had a red rash but not a Bull’s-eye rash. She was hospitalized. Intravenous antibiotics were prescribed via a PICC [peripherally inserted central catheter] line. The mother described sleeping in a

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Lyme disease patient getting a costly tests including an MRI.

Can Lyme disease trigger a cascade of costly, unnecessary tests?

Dr. Meredith Niess discussed the case in more detail in an NPR story.[1] A man was scheduled for hernia surgery. A preoperative X-ray was ordered despite the paucity of evidence of whether the X-ray was needed. The X-ray suggested a mass. The patient was worried about cancer. Cancer was ruled out. “In fact, a follow-up

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Doctors gives anesthetic medication to patient with Lyme disease.

Anesthetic concerns for Lyme disease patients

In her article “Lyme Disease and Anesthesia Considerations,” Smit discusses three approaches: Disease awareness Some patients may have Lyme disease that has not been diagnosed. “Infected patients in whom the diagnosis has not yet been made or has been missed may present for invasive investigations such as biopsies or arthroscopies or for larger surgical interventions

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Man with Lyme carditis and a pacemaker implantation talks to doctor.

Successful removal of pacemakers in patients with Lyme carditis

In their study “Pacemaker Explantation in Patients With Lyme Carditis,” Wamboldt and colleagues¹ describe two cases involving the removal of pacemakers in patients with Lyme carditis, which highlights the importance of including Lyme carditis in the differential diagnosis for high-degree AV block. Furthermore, these cases demonstrate the “benefits of early device interrogation in patients who

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Lyme patient expressing frustration with doctor.

‘Near-universal’ negative experiences with healthcare providers reported by Lyme disease patients

“Healthcare providers frequently struggle to provide effective care to patients with chronic Lyme-associated symptoms…potentially causing these patients to feel misunderstood or neglected by the healthcare system,” the authors wrote. They listed 6 themes that emerged from the participants experiences: Late diagnosis, abandonment, loss, unpredictability, lack of understanding, and a need for a holistic experience. The

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Man with lyme arthritis rubbing his wrist.

Lyme arthritis with rheumatoid arthritis leads to poor quality of life

In the study “Assessment of quality of life in patients with Lyme arthritis and rheumatoid arthritis,” Yuskevych and colleagues surveyed 90 patients with Rheumatoid Arthritis who were treated at their rheumatology clinic.¹ Nearly 50% of the patients with Rheumatoid Arthritis also tested positive for Lyme disease. Survey results indicated, “The presence of Borrelia burgdorferi [the

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Woman with bull's eye rash being examined at the hospital.

Erythema migrans rash doesn’t always have bull’s eye appearance

Several reports have found urticarial, linear, granulomatous, and bullous erythema migrans presentations associated with Lyme disease, as well. And as this case series highlights, “several erythema migrans variants have been reported, which may result in misidentification as well as delayed diagnosis and treatment.”¹ In their article, “Vesiculobullous Lyme disease: A case series,” the authors describe

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