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Physician frustration with Lyme disease patients

They found that some physicians are frustrated with Lyme disease (LD) patients. “Providers described challenges and frustrations in counseling patients with strong preconceptions of LD diagnosis and treatment in the context of chronic infection,” the authors wrote. The authors came to this conclusion after a series of focus groups with 14 clinicians from three primary […]

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Man being examined with stethescope for mitral valve problems from Lyme carditis.

Mitral valve dysfunction from Lyme carditis

The 22-year-old man was admitted to the hospital with cardiac problems. He suffered from morbid obesity and  complained of chest pain and lightheadedness for several days. During his examination, he was sweaty with a fast pulse of 115. He also reported having an erythema migrans (EM) rash. Clinicians initially suspected the patient had non-segment elevation

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Man in hospital bed with co-infections from a tick bite.

Tick bite leads to multiple co-infections

“Two days after noting this ankle lesion, the patient noticed an erythematous rash on his neck and chest,” the authors explain. He was prescribed an antihistamine and 7-day course of trimethoprim–sulfamethoxazole. The rash resolved after 5 days of antibiotic treatment, but the man continued to have pain and swelling in his ankle.  The pain spread

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Woman in hospital bed with Bell's palsy due to Lyme disease.

Bell’s palsy due to Lyme disease misdiagnosed, patient bedridden

Until recently, India has been considered a non-endemic region for Lyme disease, the authors point out. And, “Although it had been considered extremely rare in India, a recent study conducted in Nagarahole and Bandipur in South India surprisingly revealed a high seroprevalence (19.9%) of Borrelia burgdorferi infection in a population at risk (forest workers and

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man with lyme disease having leg bone examined by doctor

Can Lyme disease cause bone loss?

In a 2003 case report, “Bone marrow manifestation of Lyme disease (Lyme Borreliosis),” Kvasnicka et al.² describe a 35-year-old man, who presented with fever, night sweats, inguinal lymph node enlargement and splenomegaly. He also exhibited neurologic symptoms including hyperkinesis and ataxia. Based on results from a lumbar puncture, doctors initially suspected the patient had infectious

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lyme carditis in child being examined by doctor

Does Lyme carditis differ in children vs. adults?

The authors analyzed charts of pediatric and adult patients with heart block and a positive Western Blot test for Lyme disease, who were hospitalized at Maine Medical Center. The study included 10 children and 20 adults who were admitted for Lyme carditis between January 2010 and December 2018.¹ The children’s mean age was 12.4 years.

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Lyme disease presentation in man from Germany holding his hands over his face.

Clinical presentation of Lyme disease in patients living in Germany

The authors collected data via an online questionnaire from 252 Lyme disease patients and a control group of 267 healthy individuals living in Germany to examine the clinical presentation, including neuropsychiatric and psychological symptoms. The findings revealed that “Lyme disease can cause diverse psychological and neuropsychiatric symptoms. These include limitations in quality of life, sleep,

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Sad woman with Lyme disease and lewy body dementia looking out the window.

Autopsy finds Lyme disease spirochetes in patient with Lewy body dementia

In a recent study entitled “Detecting Borrelia Spirochetes: A Case Study With Validation Among Autopsy Specimens,” researchers describe a woman with Lyme disease who was later diagnosed with Lewy body dementia.² Lyme disease diagnosed at age 54 At age 54, the woman was diagnosed with Lyme disease based upon a well-documented erythema migrans rash, along

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What is Borrelia miyamotoi

What is Borrelia miyamotoi?

Borrelia miyamotoi (B. miyamotoi) was first reported in the United States in 2013 but has become increasingly more common. The tick-borne illness can be transmitted by the same tick that carries Borrelia burgdorferi, the Lyme disease pathogen. In their article, Della-Giustina and colleagues² address the question, “What is Borrelia miyamotoi?” and concerns surrounding this growing

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