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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 […]

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

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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lyme-disease-pregnancy

Case series: No complications with Lyme disease and pregnancy

The first confirmed case of LB [Lyme borreliosis] in a pregnant woman was described in 1985 in a 28-year- old mother who was infected with LB in the first trimester and delivered her baby at 35 weeks, the authors explained, based on a paper by Schlesinger et al.² “The mother developed symptoms consistent with LB

Case series: No complications with Lyme disease and pregnancy Read More »

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

Unilateral knee swelling in a child due to Lyme disease Read More »