“The clinical presentation of Lyme arthritis (LA) of the hip can be similar to both acute bacterial septic arthritis (SA) and transient synovitis (TS),” explains Cruz and colleagues. ¹ “Differentiating between SA, LA, and TS of the hip can be challenging, even for the most discerning clinician.” But, accurately diagnosing these conditions is important since […]
Diagnosing Lyme arthritis of the hip in children Read More »
“While mostly vigilant and awake, he intermittently lacked full orientation, had reduced attention, concentration, short-term memory function, increased motor activity, mild formal thought disorder (incl. some tangential thinking), but no frank psychotic symptoms,” the authors explain. The man was diagnosed with delirium, potentially related to dementia. An abnormal F18-FDG-PET scan was interpreted as consistent with
Case review: 80-year-old with Lyme encephalopathy instead of dementia Read More »
Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron will be discussing the case of a 64-year-old woman with central nervous system involvement of the brain. By Dr. Daniel Cameron The case was first described by Mullholand and colleagues in the British Medical Journal in a paper
Anaplasmosis in the brain Read More »
Lyme disease heart block progression can occur with alarming speed. Two cases demonstrate conduction deteriorating from normal or first-degree block to complete heart block within hours to overnight. A 33-year-old woman progressed from first-degree to complete block in just hours after admission, while a 72-year-old man developed symptomatic bradycardia overnight. Both cases underscore why Lyme
Lyme disease and the heart, when AV block progresses rapidly Read More »
Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron will be discussing a case which examines the diagnostic value of a lumbar puncture in Lyme neuroborreliosis. By Dr. Daniel Cameron The case was first described by Portales-Castillo and colleagues in the journal Cureus in a paper entitled
Lumbar puncture not all that helpful for diagnosing Lyme neuroborreliosis? Read More »
Ehrlichia Guillain-Barre Syndrome: A Tick-Borne Cause of GBS Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron discusses Ehrlichia Guillain-Barre Syndrome, a rare neurologic complication in which a tick-borne infection triggers Guillain-Barré Syndrome in a 71-year-old woman. By Dr. Daniel Cameron The case, published by Malhis and
Tick bite leads to Guillain-Barré Syndrome Read More »
Babesiosis missed diagnosis can have dire consequences — especially when patients have both Lyme disease and Babesia. This case highlights why clinicians must consider co-infection in tick-endemic areas. The woman had a three-week history of a fever (maximum temperature, 104°F), chills, nausea, and productive cough of yellow sputum. Six weeks prior to her onset of
Babesiosis Missed Diagnosis: Why Co-infections Have Dire Consequences Read More »
1.) Involuntary body movements due to Lyme disease dismissed as psychosomatic A man in his 70’s had an abrupt onset of involuntary body movements, including jerks in his left arm. Doctors initially dismissed him as having a functional disorder. However, his involuntary body movements were due to Lyme disease. 2.) Bannwarth syndrome in early disseminated Lyme
Top 10 Podcasts for 2021! Read More »
1.) Should Lyme disease patients with an impaired immune system get the COVID-19 vaccine? The Centers for Disease Control and Prevention (CDC) posted mRNA COVID-19 vaccination considerations for people who have a weakened immune system. “People with HIV and those with weakened immune systems due to other illnesses or medication might be at increased risk
Top 10 Lyme disease blogs for 2021! Read More »
The study’s objective was to “evaluate the seasonality of pediatric Lyme disease in three endemic regions in the United States,” writes Sundheim. Participants had been treated at 8 different medical centers throughout the Northeast and UpperMidwest. Of the 690 children with Lyme disease, 77 (11.2%) had a single EM lesion, 247 (35.7%) had early disseminated
Lyme arthritis in children can present throughout the year Read More »
