How Do Ticks Move When Seeking a Meal? How do ticks move when seeking a meal? Ticks are often thought to simply wait for a host to brush past them, but research shows adult blacklegged ticks (Ixodes scapularis) may actively move toward nearby hosts once they detect them. Understanding how ticks move helps explain how […]
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Lyme Disease and Stroke: An Inside Lyme Case Study Welcome to an Inside Lyme case study. One of the best ways to understand Lyme disease is by reviewing real patient cases. In this Inside Lyme podcast, I discuss an 83-year-old man whose stroke was associated with Lyme disease. By Dr. Daniel Cameron Legast and colleagues
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Long COVID and Lyme Disease: What Chronic Infection Teaches Us Understanding the similarities between long COVID and Lyme disease may help clinicians better recognize patterns of post-infectious illness. Persistent symptoms after infection have long been described in Lyme disease and are now being widely recognized in patients with COVID-19 chronic manifestations, commonly referred to as
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Babesia and Anaplasmosis Coinfection: When Two Tick Infections Cause Confusion Babesia and Anaplasmosis coinfection can lead to serious illness, particularly in older adults. In this Inside Lyme case study, I discuss a 78-year-old woman who presented with confusion and fever caused by two tick-borne infections occurring at the same time. Paparone and colleagues described this
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Bell’s Palsy in Children: 29% Had Lyme Disease in a UK Study A retrospective review examined 93 children with idiopathic facial nerve palsy, formerly called Bell’s palsy, who were evaluated at University Hospital Southampton NHS Foundation Trust between 2010 and 2017. Facial nerve palsy can be an early sign of Lyme disease in children. Very
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Single-Dose Doxycycline After a Tick Bite A pharmacist-run clinic prescribing doxycycline for tick bite prophylaxis was described in a recent article by Portman, “Implementing a pharmacist-run Lyme disease postexposure prophylaxis clinic augmented by academic detailing within the Veterans Health Administration.”¹ Programs allowing pharmacists to prescribe doxycycline for tick bite prophylaxis may improve access to care
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Long-Term Lyme Disease Symptoms: What Patients Experience Long-term Lyme disease symptoms can persist in some patients even after standard antibiotic treatment, affecting neurologic, musculoskeletal, and cognitive function. Quick Answer: Long-term Lyme disease symptoms may include fatigue, joint pain, brain fog, sleep disturbance, and neurologic complaints that can last months or years after infection. While many
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CDC Lyme Disease Case Definition Often Misused Many physicians mistakenly rely on the CDC Lyme disease case definition when diagnosing patients with Lyme disease. Some clinicians require that patients meet these strict surveillance criteria before making a diagnosis. However, the CDC Lyme disease case definition was developed as a public health surveillance tool designed to
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Lyme Disease and Double Vision (Diplopia) Prefer to read? Read the full written case report here. In this podcast episode, I discuss a 69-year-old man with Lyme disease and double vision (diplopia) caused by a 3rd cranial nerve palsy rather than the more common 7th nerve palsy seen in Lyme disease. While facial nerve palsy
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Looking for a Lyme Doctor Many patients searching for a Lyme doctor do so after struggling with persistent symptoms, negative test results, or difficulty finding clinicians experienced in diagnosing tick-borne diseases. Finding a Lyme Doctor It can be difficult to find a Lyme doctor, particularly for patients who do not live in a Lyme-endemic area
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