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A 36-year-old man with severe neuropathic pain in both feet.

A 36-year-old man suffered with severe neuropathic pain in both feet. The pain was severe at a level 10 out of 10 despite methadone 5 mg every four hours as needed. The doctors elected not to treat with antibiotic under the assumption that the tick-borne infection had resolved.I first read about this case in the journal Neuromodulation  by Karri  and colleagues.The pain remained severe despite trials of gabapentin, duloxetine, bupropion and narcotics. The pain improved with two surgical procedures You can hear more about these cases through his blogs, social media, and YouTube. Sign up for our newsletter to keep up with these cases.How to Connect ...

Autonomic dysfunction in a 64-year-old woman with a history of Lyme disease and COVID-19.

I will be discussing autonomic dysfunction in a 64-year old woman with a history of Lyme disease and COVID-19.  She was initially diagnosed and treated for Lyme disease at the age of 60.  She was diagnosed with two autonomic disorders. Her distal burning sensation without weakness were diagnosed as small fiber neuropathy (SNF).  Her dizziness, brain fog, and fatigue were diagnosed as orthostatic hypoperfusion syndrome (OCHOS).She was diagnosed with COVID-19 pneumonia at the age of 64. She was treated with IVIG but was left with headaches and fatigue. The authors concluded that COVID-19 triggered autoimmunity. I would have questioned whether the ...

A 25-year-old man with acute transverse myelitis and Lyme disease.

Dr. Cameron feels that the best way to get to know Lyme disease is through reviewing actual cases. In this Inside Lyme Podcast episode, he will be discussing a 25-year-old man with transverse myelitis and Lyme disease. Dumic and colleague first discussed this case in the journal IDCases in 2019.“A previously healthy 25-year-old man presented with inability to urinate and frequent falls associated with bilateral lower extremity weakness and numbness.” wrote the authors.His condition worsened. He began to fall due to the weakness of both legs and problems with his gait. His MRI revealed myelitis.  His spinal tap revealed pleocytosis consistent with ...

A 69-year-old man with Lyme disease and double vision.

Dr. Cameron feels that the best way to get to know Lyme disease is through reviewing actual cases. In this Inside Lyme Podcast episode, he will be discussing a 69-year-old man with Lyme disease and double vision.Dixit and colleagues first discussed this case in the journal Case Reports in Neurological Medicine in 2018.  He had been hiking in a rural area of New York but did not notice a tick bite or rash. He developed a headache followed by diplopia. He was diagnosed with Lyme disease and double vision from 3rd nerve palsy rather than the more common 7th nerve palsy.I discussed a wide range of eye problems related to Lyme disease in two previous ...

75-year-old Chinese man with a negative Lyme disease test.

Dr. Cameron feels that the best way to get to know Lyme disease is through reviewing actual cases. In this Inside Lyme Podcast episode, he will be discussing 75-year-old Chinese man with a negative Lyme disease test.Lamichhane and colleagues first discussed this case in the journal Case Reports in Infectious Diseases in 2018.The man presented with a high fever, unsteady gait, encephalopathy, diffuse myalgia, and tachycardia. The doctors apparently did not request a western blot test after the initial negative Lyme disease test. His doctors then ordered more than the screening Lyme disease test. His blood tests were now positive for Lyme disease and ...

COVID-19 PODCAST: 34 residents of a single skilled nursing facility die from COVID-19.

Dr. Cameron feels that the best way to get to know COVID-19 is through reviewing actual cases. In this Podcast episode, he will be discussing a 73-year-old resident of a skilled nursing facility who died from COVID-19. McMichael and colleagues discussed this case in the New England Journal of Medicine in 2020. As of March 18, 2020, there were 101 residents of the skilled nursing facility with a confirmed case of COVID-19. As of March 18, the preliminary case fatality rate for the skilled care residents was 33.7% for residents and 6.2% for visitors wrote the authors. The authors described a list of factors identified by the authors that ...

COVID-19 Podcast: Evidence supporting hydroxychloroquine and azithromycin for COVID-19.

Dr. Cameron feels that the best way to get to know COVID-19 is through reviewing actual cases. In this Podcast episode, he will discuss the evidence supporting hydroxychloroquine and azithromycin for COVID-19. Update: Doctors have shifted their focus on other treatments and vaccine instead of hydroxychloroquine and azithromycin. Researchers have turned to existing drugs that might be effective without causing significant side effects. Hydroxychloroquine and chloroquine have shown some antiviral benefits in vitro A recently published second French trial by Gautret and colleagues added further support for the hydroxychloroquine with ...

COVID-19 Podcast: Transmission from patient to health care worker.

Dr. Cameron feels that the best way to get to know COVID-19 is through reviewing actual cases. In this Podcast episode, he will discuss the risk for patient to health care worker and patient-to-patient transmission of CVID-19Wang and colleagues first discussed this case in the journal JAMA in 2020. The authors 138 Hospitalized Patients WithCOVID-19 infected Pneumonia in Wuhan, ChinaYou may be wondering why I am discussing COVID-19 during an Inside Lyme podcast. First, I am concerned for my children and grandchildren. Second, I am concerned about my Lyme disease patients.  Lastly, I need to understand the disease.Forty hospitalized health care workers ...

COVID-19 Podcast: Fecal transmission of COVID-19 in children?

You may be wondering why I am discussing COVID-19 during an Inside Lyme podcast. I am concerned for my children, grandchildren, and my patients. I would like to share my understanding of COVID-19 through my eyes as a clinical epidemiologist. I was surprised to run across the question of fecal transmission of COVID-19 to children in the same article by Cruz and colleagues. “There is also evidence of fecal shedding in the stool for several weeks after diagnosis, leading to concern about fecal-oral transmission of the virus, particularly for infants and children who are not toilet-trained, and for viral replication in the gastrointestinal tract.” ...

COVID-19 Podcast: What is the risk for children?

Dr. Cameron feels that the best way to get to know COVID-19 is through reviewing actual cases. In this Podcast episode, he will discuss the risk for children with Coronavirus COVID-19.   Dong and colleague first discussed this case in the journal Pediatrics in 2020. The authors described 2143 pediatric Patients COVID-19 in China You may be wondering why I am discussing COVID-19 during an Inside Lyme podcast. First, I am concerned for my children and grandchildren. Second, I am concerned about my Lyme disease patients.  Lastly, I need to understand the disease.13 children with COVID-19 infections had what the authors defined as critical disease. ...