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 Can Babesia and Anaplasmosis cause confusion or brain fog? Yes. Some patients develop sudden confusion, memory problems, or difficulty thinking clearly when these tick-borne infections occur together. These symptoms may overlap with broader cognitive changes seen in tick-borne illness. Learn more about brain fog in
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Bell’s Palsy in Children May Be Lyme Disease Facial palsy may be the only sign Tick bite and rash are often absent Testing and treatment vary widely In a retrospective review of 93 children with idiopathic facial nerve palsy at University Hospital Southampton (2010–2017), investigators found that Lyme disease was a common—and often underrecognized—cause. :contentReference[oaicite:0]{index=0}
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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 Symptoms can persist after Lyme disease Fatigue, pain, and brain fog are common Patterns often fluctuate over time Many cases are misunderstood Long-term Lyme disease symptoms can persist in some patients even after standard treatment, affecting neurologic, musculoskeletal, and cognitive function. Quick Answer: Long-term Lyme disease symptoms may
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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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Doctor Who Treats Chronic Lyme: What to Look For Quick Answer: A doctor who treats chronic Lyme disease should recognize multi-system symptoms, consider clinical diagnosis, and evaluate patients beyond standard testing. Clinical Insight: Many patients struggle to find appropriate care because chronic Lyme symptoms often don’t fit a single diagnosis or standard framework. Why is
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