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Don’t wait for a positive Lyme disease test
The Centers for Disease Control and Prevention (CDC) recommends two-tier testing for Lyme disease, which includes a screening test with the ELISA (enzyme-linked immunosorbent assay) and confirmation with the Western Blot. However, studies have found that these tests can miss more than 50% of patients with Lyme disease. In my practice, I treat patients based on clinical symptoms and medical history.
Rifampin for Lyme Disease: When Doxycycline Isn’t Enough
The treatment landscape for Lyme disease has undergone significant evolution over the years, offering a wider array of options to manage this multifaceted illness.
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).
Can you get ticks from pets?
Ever wonder if you can get ticks from pets? A study by Jones et al. found that not only can pets transport ticks into the home and onto humans, but the risk of a tick bite is significantly higher for both dog and cat owners.
Dissociative amnesia in a patient with post-treatment Lyme disease syndrome
Investigators describe the case of a 41-year-old patient, diagnosed with post-treatment Lyme disease syndrome (PTLDS), who, in addition to exhibiting typical PTLDS symptoms, also showed a severe retrograde episodic-autobiographical and semantic amnesia.
In 2015, the patient exhibited weakness and loss of energy, psychomotor slowing, night sweats, and difficulties with attention.
A few months prior to the onset of symptoms, the man had a low-grade fever and an Erythema Migrans (EM) rash.
He also experienced identity loss, specific phobias, dissociative symptoms, and depressed mood.
Testing for Lyme disease was positive and he began treatm...
Single tick bite leads to 3 diseases in elderly woman
In their article “Triple Tick Attack,” doctors describe the case of a 74-year-old woman living in Connecticut who developed three tick-borne diseases as the result of a single tick bite. While Lyme disease is the most common tick-borne illness, ticks can transmit other bacterium, causing various “co-infections,” which can be difficult to diagnose.
Case studies: Babesia patients infected with Bartonella
In their article “Human Babesia odocoilei and Bartonella spp. co-infections in the Americas,” Maggi and colleagues describe a series of patient cases which through molecular documentation demonstrates Babesia odocoilei infection in humans in the United States and emphasizes the potential for co-infection with a Bartonella species. [1]
Homicide, two assaults, and suicide in Lyme disease patient
A case report by Dr. Robert Bransfield and colleagues describes a patient who developed substance abuse issues after struggling with Lyme disease and was eventually charged with homicide and two assaults. The patient later committed suicide.
Chronic Lyme patient treated successfully with low dose Flagyl
In their article “Patient with Chronic Lyme Disease and Recurrent Relapses, Maintained in Complete Remission by Low Doses of Metronidazole,” Lacout and colleagues describe a unique case of a Lyme disease patient, residing in France, whose chronic symptoms and relapses resolved with long-term, low dose Flagyl. [1]
Facial paralysis due to Lyme disease initially attributed to a virus
In their article “Bilateral facial paralysis: an atypical presentation of Lyme disease,” Collignon and colleagues describe the case of a 35-year-old man who was admitted to the hospital complaining of disabling back pain, which was preceded by facial paralysis.¹
