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Lyme Science Blog

Meningoencephalitis-Borrelia-miyamotoi

Meningoencephalitis Borrelia Miyamotoi: Case Report

Meningoencephalitis Borrelia miyamotoi can occur even in immunocompetent patients. 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 […]

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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 Babesia Transmission in Twins

When Vertical Transmission Affects Only One Twin Congenital babesia is rare—but this case proves it happens. 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

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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

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Babesia-treatment

Tafenoquine: Treatment for relapsing Babesia

Tafenoquine babesia treatment offers hope for patients who don’t respond to standard medications. A 36-year-old man was hospitalized in 2019 due to unexplained fevers he had been having for two weeks. He was later diagnosed with Babesia with 8.5% of his blood showing the parasite. He had been diagnosed with granulomatosis with polyangiitis in 2001

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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 Leukemia

Babesia immunocompromised patients face elevated risks — and this case shows why clinicians must consider tick-borne infections even in children undergoing cancer treatment. A 5-year-old with leukemia developed both Babesia and Anaplasmosis after a tick bite. “A 5-year-old male with National Cancer Institute (NCI) standard risk B-cell acute lymphoblastic leukemia (B-ALL), in remission and receiving

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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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