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Lyme Science Blog

facial-nerve-dysfunction-lyme-disease

Facial nerve dysfunction after treatment for Lyme disease

In their study, Wormser and colleagues found that 6 of the 11 Lyme disease patients (54.5%) suffered from facial nerve dysfunction an average of 13.1 months following the onset of treatment with corticosteroids.¹ 52-year-old man with “tearing of left eye when eating (Bogorad’s syndrome); mild residual weakness left side.” 51-year-old man with “mild residual left […]

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Anaplasmosis-babesia

Babesia and Anaplasmosis in a child with B-cell acute lymphoblastic leukemia

“A 5-year-old male with National Cancer Institute (NCI) standard risk B-cell acute lymphoblastic leukemia (B-ALL), in remission and receiving standard maintenance chemotherapy, was admitted to another hospital with fever, emesis, diarrhea, headache, and lethargy in July,” wrote Ungar. The child had been diagnosed 32 months earlier with B-ALL and remained in complete remission following induction

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anaplasmosis-neurological-symptoms

Anaplasmosis leading to neurological symptoms of trigeminal neuralgia

According to the authors, the woman experienced a “sudden onset of severe, lancinating headache in the distribution of the fifth cranial nerve bilaterally.”¹ She had been treated for Lyme disease two months earlier following a tick bite and a rash on her torso. She had since been bitten by a non-engorged tick. Her neurologic exam

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facial-palsy-lyme-disease

Lyme disease with bilateral facial palsy, formally known as Bell’s palsy

Less than 2% of facial palsy cases are bilateral.¹ “Unlike unilateral facial palsy, it is often caused by a serious underlying systemic disease and therefore warrants urgent medical intervention,” wrote Yang and Dalal in their article “Bilateral Facial Palsy: A Clinical Approach.”² “A previously healthy 10-year-old boy presented in late August with a one-day history

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swollen-knee-lyme-disease

Unilateral knee swelling in a child due to Lyme disease

According to the authors, “The mother initially denied history of a tick bite, yet after focused questioning, the mother stated that the child had ticks on her approximately 9 months ago.” Unfortunately, the child was not taken to her clinician because she did not develop any skin rashes which could indicate Lyme disease. The child

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woman with lyme disease and vertigo sitting and holding head

Lyme disease triggers vertigo and hearing loss

A recently published study by Sowula and colleagues provides further evidence that Lyme disease can trigger vertigo and hearing loss. In their article “Vertigo as one of the symptoms of Lyme disease,” the authors examine the frequency of vertigo symptoms and potential labyrinth damage in patients with diagnosed Lyme disease.4 The study included 38 patients

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disseminated-lyme-disease

Lower socioeconomic status: a risk factor for disseminated Lyme disease

Moon et al. explored the risk factors for disseminated Lyme disease using an electronic database from the Geisinger integrated health care system located in Pennsylvania. They based their data on both diagnostic and narrative text data. One out of three of their disseminated Lyme disease cases were classified as disseminated cases. “Lyme arthritis was the

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trauma-lyme-disease

Prior trauma may worsen symptom severity of Lyme disease

The authors cited earlier research by Solomon and colleagues on the role of prior trauma in Lyme disease.²  “The investigators noted that patients who reported a higher number of lifetime traumatic events (i.e., a higher trauma score) at initial presentation were more likely to report a painful, disabling symptom course at follow-up.” Mustafiz and colleagues

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lyme-disease-radiculopathy

Child with Lyme disease diagnosed with radiculopathy

A 10-year-old boy presented with fatigue, posterior lower neck pain, and a low-grade fever of 100.8. “The soft tissues of the posterior neck and upper back were tender with allodynia,” wrote Baker and colleagues in the American Journal of Emergency Medicine.² They added, the Magnetic Resonance Imaging (MRI) of the cervical spine showed “questionable” nerve

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