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These 4 Powassan virus encephalitis cases highlight the varied clinical presentations of this serious tick-borne infection. Powassan virus (POWV) can cause severe disease, including infection of the brain (encephalitis) or infection of the membranes around the brain and spinal cord (meningitis). Symptoms may include confusion, loss of coordination, difficulty speaking, and seizures. An estimated 1 […]

Severe anaplasmosis can cause multi-organ complications, especially in immunocompromised patients. In their case report “Severe Anaplasmosis With Multiorgan Involvement in a Rheumatoid Arthritis Patient,” Aydin et al. describe a 66-year-old woman, residing in Connecticut, who was admitted to the emergency department with confusion and lethargy. The patient was disoriented and had been experiencing fever, chills,

Investigators describe the case of a patient with acute babesiosis who prior to treatment tested positive for HIV. The 60-year-old man was admitted to the emergency department with intermittent fever, fatigue, anorexia, and worsening jaundice for three weeks. He was referred by his primary care doctor due to abnormal laboratory values and parasites in the

In their article, “Human Borrelia miyamotoi Infection in North America,” Burde and colleagues discuss the frequency and location of infection in ticks and people, clinical presentation and complications, diagnosis, treatment, and prevention. Prevalence of B. miyamotoi B. miyamotoi-infected ticks have been reported throughout the northeastern, northern Midwestern, and western United States. They’ve also been detected

Babesia neurologic complications are more common than many clinicians realize. In their study “Neurologic Complications of Babesiosis,” the authors “sought to describe the type and frequency of neurologic complications of babesiosis in a group of hospitalized patients and assess risk factors that might predispose patients to neurologic complications.” They examined the medical records of 163

Borrelia miyamotoi California cases are now being documented. “Although B. miyamotoi has been identified in ticks in California for more than 20 years, locally acquired human cases within the western United States have not been described [in the literature],” according to Rubio et al. In this case report, the authors describe an immunocompromised man living

Alpha-gal syndrome typically presents with abdominal pain, diarrhea, nausea or vomiting. But it can also lead to swelling of the face or throat, voice changes, difficulty breathing, hives, or fainting, according to recent article “AGA Clinical Practice Update on Alpha-Gal Syndrome for the GI Clinician: Commentary,” by McGill and colleagues.¹ According to the authors, the

What does Borrelia miyamotoi cause? The Borrelia miyamotoi symptoms vary depending on the patient’s immune status. The authors explain, “Immunocompetent, and otherwise healthy, patients present with milder, flu-like symptoms: fever, fatigue, sleepiness, chills, muscle and joint stiffness, aches and pains, and nausea.” And, “While uncommon, relapses of febrile episodes can occur.” In fact, the Borrelia

Heartland virus is an emerging tick-borne disease that can be fatal. Now, investigators have identified the Heartland virus in the Maryland and Virginia region – an area where the virus is not widely recognized. In their article “Fatal Case of Heartland Virus Disease Acquired in the Mid-Atlantic Region, United States,”¹ Liu and colleagues describe the

Borrelia miyamotoi ticks can transmit the infection in multiple ways. In their article “Borrelia miyamotoi: A Comprehensive Review. Pathogens,” Cleveland and colleagues discuss Borrelia miyamotoi as an emerging tick-borne pathogen and how it can be transmitted from a mother tick to their offspring. Vertical transmission in Borrelia miyamotoi ticks Cleveland et al. reviewed the proposed