Dr. Daniel Cameron

Are Lone Star Ticks in Your Neighborhood? Lone star ticks are expanding rapidly—and many encounters are happening closer to home than expected. Between 2006 and 2016, researchers received 8,608 ticks from 22 U.S. states. [1] Most were collected in Monmouth County, New Jersey, a region long recognized as endemic for Lyme disease. Surprisingly, lone star […]

Small Fiber Neuropathy and Autonomic Dysfunction in Lyme Disease Objective findings may explain why patients with persistent Lyme symptoms experience pain, sensory changes, and dysautonomia. A retrospective study of 10 patients diagnosed with post-treatment Lyme disease syndrome found that all had small fiber neuropathy, autonomic dysfunction, and abnormal cerebral blood flow—providing measurable evidence for symptoms

Northern “Immigrant” Ticks Causing Concern in the South Changes in tick behavior may increase Lyme disease risk in regions previously considered lower risk. Ticks locate hosts through a behavior known as “questing.” According to the CDC, ticks hold onto leaves and grass with their hind legs while extending their front legs outward, waiting to latch

Northern “Immigrant” Ticks Causing Concern in the South Changes in tick behavior may increase Lyme disease risk in regions previously considered lower risk. Ticks locate hosts through a behavior known as “questing.” According to the CDC, ticks hold onto leaves and grass with their hind legs while extending their front legs outward, waiting to latch

Brazilian Lyme-Like Syndrome: Why It Remains a Clinical Concern Brazilian Lyme-like syndrome (BYS) continues to challenge clinicians, with growing evidence supporting a true Borrelia infection. Recent polymerase chain reaction (PCR) testing has confirmed the presence of Borrelia burgdorferi sensu stricto in Brazil, strengthening the case that this condition represents a borrelial infection rather than a

Acute Transverse Myelitis in a 25-Year-Old Man With Lyme Disease Acute transverse myelitis is a rare but serious neurologic complication of Lyme disease that can lead to significant disability if not recognized early. Acute transverse myelitis (ATM) is characterized by bilateral motor, sensory, and autonomic dysfunction. Symptoms may progress rapidly over hours to days, writes

Lyme Disease in Veterans: Symptoms, Co-Infections, and Missed Diagnoses Lyme disease in veterans may be underrecognized—especially when testing results are incomplete or misleading. In a study examining Lyme disease veterans receiving care through the Veterans Affairs system, investigators reviewed clinical and laboratory findings to better understand the presentation of Lyme disease and associated tick-borne infections.

Lyme Myelopathy: Acute Transverse Myelitis as a Treatable Cause Lyme disease is a rare but important—and potentially reversible—cause of acute transverse myelitis. Clinical signs and symptoms of acute transverse myelitis (ATM) depend on the region of the spinal cord involved, explain Kaiser and colleagues in a recent case report, “Lyme myelopathy: Case report and literature

Borrelia Miyamotoi Blood Smear: Why It Fails to Detect Infection A negative blood smear does not rule out Borrelia miyamotoi infection. Why Blood Smears Fail to Detect Borrelia miyamotoi Diagnosing Borrelia miyamotoi can be challenging. Some clinicians have suggested using blood smears to confirm infection. However, Telford and colleagues demonstrate that microscopy is not a

Opsoclonus in Lyme Disease: Erratic Eye Movements in a Child Opsoclonus—rapid, uncontrolled eye movements—is a rare neurologic manifestation of Lyme disease. Opsoclonus is typically associated with infection or malignancy, particularly neuroblastoma. However, it has rarely been reported in Lyme disease, explain Gibaud and colleagues in a case report “Opsoclonus in a child with neuroborreliosis.” [1]