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Lyme Science Blog

Lyme patient expressing frustration with doctor.

‘Near-universal’ negative experiences with healthcare providers reported by Lyme disease patients

“Healthcare providers frequently struggle to provide effective care to patients with chronic Lyme-associated symptoms…potentially causing these patients to feel misunderstood or neglected by the healthcare system,” the authors wrote. They listed 6 themes that emerged from the participants experiences: Late diagnosis, abandonment, loss, unpredictability, lack of understanding, and a need for a holistic experience. The […]

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Man with lyme arthritis rubbing his wrist.

Lyme arthritis with rheumatoid arthritis leads to poor quality of life

In the study “Assessment of quality of life in patients with Lyme arthritis and rheumatoid arthritis,” Yuskevych and colleagues surveyed 90 patients with Rheumatoid Arthritis who were treated at their rheumatology clinic.¹ Nearly 50% of the patients with Rheumatoid Arthritis also tested positive for Lyme disease. Survey results indicated, “The presence of Borrelia burgdorferi [the

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Woman with bull's eye rash being examined at the hospital.

Erythema migrans rash doesn’t always have bull’s eye appearance

Several reports have found urticarial, linear, granulomatous, and bullous erythema migrans presentations associated with Lyme disease, as well. And as this case series highlights, “several erythema migrans variants have been reported, which may result in misidentification as well as delayed diagnosis and treatment.”¹ In their article, “Vesiculobullous Lyme disease: A case series,” the authors describe

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Man taking doxycycline which will only prevent Lyme disease rash.

Single dose doxycycline for treatment of tick bite only prevents Lyme disease rash

In the article, the authors reference the 2006 Infectious Diseases Society of America (IDSA) guidelines when making their recommendation that “individuals be treated with a single dose of doxycycline (4 mg/kg in children ≥8 years of age to a maximum 200 mg and 200 mg in adults)”. [1] Their recommendation applies only to patients meeting

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Meningoencephalitis-Borrelia-miyamotoi

Meningoencephalitis due to Borrelia miyamotoi

A 73-year-old man was admitted to the hospital with a 16-day history of confusion and intermittent headaches. He was an avid gardener and reportedly had tick bites in the past but none that he noticed in the weeks prior to his symptoms. Initially, he developed “right-sided facial droop and associated numbness, confusion, and word-finding difficulties,”

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tick-bite-red-meat-allergy

Tick bite induces red meat allergy

“The patient reported that a typical episode occurred approximately 5 to 8 hours after the ingestion of a beef product,” wrote the authors. “Symptoms consisted of increased heart rate to 170–180 beats per minute, skin redness, lightheadedness, blurred vision, and shortness of breath.” The man experienced 9 of these episodes over a 4-year period. Each

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COVID-Lyme-disease

COVID-19: When Lyme disease and tick-borne illnesses may not be considered

The woman presented with fever, myalgias, diarrhea, and a dry cough. The authors discuss the risk of premature closure in such cases. “Premature closure refers to forming a conclusion and stopping the diagnostic assessment too early in the diagnostic process, in which case alternative possibilities may not be explored and the wrong diagnosis may be

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congenital-transmission-babesia

Congenital transmission of Babesia, diagnosed in twin at 5 weeks old

The patient was born at 36 5/7 weeks by C-section. At five-weeks-old the newborn presented to the emergency department with pallor, increased lethargy and difficulty feeding. The newborn was “more difficult to arouse and very pale compared to her twin brother,” the mother reported. In additionally, “She was feeding with a similar frequency, however, with

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