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Physician frustration with Lyme disease patients

In their study, “Primary care clinical provider knowledge and experiences in the diagnosis and treatment of tick‑borne illness: a qualitative assessment from a Lyme disease endemic community,” Mattoon and colleagues examined frontline and primary care doctor’s knowledge and practices for identifying patients with tick-borne diseases.

Mitral valve dysfunction from Lyme carditis

Lyme carditis is an uncommon but important manifestation of Lyme disease. In their study, Malik and colleagues describe the case of a young man with Lyme carditis with left ventricular dysfunction and valvular involvement occurring one week after a tick bite. [1]

Tick bite leads to multiple co-infections

In their case report “One man, three tick-borne illnesses” Grant and colleagues describe a 70-year-old man who was admitted to the emergency department with ongoing fevers, ankle edema and nausea. [1] One month earlier he noticed a small raised red lesion on his left ankle, which he believed was an insect bite.

Bell’s palsy due to Lyme disease misdiagnosed, patient bedridden

In their study “Bilateral Facial Nerve Palsy in a Young Woman From West Bengal: Do Not Forget Lyme Neuroborreliosis,” Kayal and colleagues describe the case of a 23-year-old woman, living in India, who was misdiagnosed with bilateral facial nerve palsy. [1]

Can Lyme disease cause bone loss?

Arthritis is a well-known manifestation of Lyme disease. And although studies have detected Borrelia burgdorferi (Bb) by culture and PCR in bone and marrow of humans and dogs,¹ little is known about the effects of Bb infection on bone tissue, outside articular surfaces.

Does Lyme carditis differ in children vs. adults?

In their article, “Lyme Carditis in Hospitalized Children and Adults, a Case Series,” Shen and colleagues compare, for the first time, the presentation, management, and outcomes of Lyme carditis in the pediatric versus adult populations.

Clinical presentation of Lyme disease in patients living in Germany

In their article, entitled “Neuropsychiatric and Psychological Symptoms in Patients with Lyme Disease: A Study of 252 Patients,” Hündersen and colleagues describe the clinical presentation, diagnostic process and treatment regimens for 252 Lyme disease patients. [1]

TMJ arthritis triggered by Lyme disease

A case report by Weise and colleagues demonstrates that Lyme disease can induce temporomandibular joint (TMJ) pain and may be misdiagnosed as a common temporomandibular disorder (TMD).

Autopsy finds Lyme disease spirochetes in patient with Lewy body dementia

Several studies have described patients with Lyme disease as suffering from dementia-like symptoms, including brain fog, memory loss and confusion. In 2018, researchers reported the case of an 80-year-old man with neuroborreliosis who was almost misdiagnosed with dementia. [1] Meanwhile, singer/songwriter Kris Kristofferson, initially diagnosed with Alzheimer's disease, was later found to have Lyme disease.

POTS symptoms in COVID-19 patients

In their article, “Postural orthostatic tachycardia syndrome (POTS) and other autonomic disorders after COVID-19 infection: a case series of 20 patients,” the authors describe 15 patients with a new onset of autonomic dysfunction following a COVID-19 infection. [1]