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Babesia clinical diagnosis

Babesia Clinical Diagnosis: When Lab Tests Fall Short

Babesia clinical diagnosis may be necessary when laboratory tests fail to confirm infection. Investigators from ISDH and the Centers for Disease Control and Prevention (CDC) examined specimens from 14 of the patients diagnosed with Lyme disease and B. microti. They tested for Babesia infection by Giemsa-stained blood smears, PCR (polymerase chain reaction), and indirect fluorescent […]

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heart test, cardiac, ekg

Lyme disease induces severe cardiac problems in 15-year-old boy

Severe Lyme carditis in an adolescent can present with life-threatening arrhythmias requiring emergency intervention. A 15-year-old boy with heart rate of 300 beats per minute and ventricular tachycardia needed multiple cardioversions and temporary pacing. Yet after antibiotic treatment, his heart block completely resolved and he remained symptom-free at one-year follow-up — demonstrating the reversible nature

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African-American, man, student

Could race affect the diagnosis and treatment of Lyme disease?

Using data from Geisinger electronic medical records, researchers identified 9657 Lyme disease cases diagnosed between 2006 and 2014 in central and northeastern Pennsylvania. [bctt tweet=”Are African-Americans less likely to be diagnosed with Lyme disease?” username=”DrDanielCameron”] Only 1.4% of Lyme disease patients in central and northeastern Pennsylvania are African-American, according to a medical records review. Moon

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Babesia clinical presentations

Babesia Clinical Presentations: A Case of Variable Symptoms

Babesia clinical presentations can vary widely, as one case demonstrates. The woman was admitted to the emergency room with fever, chills, lethargy, fatigue, and marked changes in sensorium. Clinicians initially believed her symptoms were due to sepsis, but she was later diagnosed with concurrent Babesia and anaplasmosis. Her case demonstrates how “patients with babesiosis show

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blood transfusion, blood donor, blood bank

Could a blood transfusion transmit Lyme disease?

Could a Lyme disease blood transfusion transmit infection? While the tick-borne disease Babesia is known to spread through blood transfusions, the risk with Lyme disease remains theoretical — but worth considering. Studies have found Borrelia burgdorferi in the blood of patients with early Lyme disease using culture tests. “Borrelia are likely to be found circulating

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hiking, clothing

How effective is Permethrin-treated clothing in preventing tick bites?

Now, a new study by Connally and colleagues examines the effectiveness of treated clothing after it is worn and washed/dried. [2] Does this impact the contact irritancy and toxicity against Ixodes scapularis nymphs? The investigators forced blacklegged ticks to be in contact with Permethrin-treated clothing for 30 to 120 seconds. They then monitored the ticks’

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Knee pain, joints, knees

Lyme disease mimics prosthetic joint infection following knee replacement

The 83-year-old man, from Pennsylvania, was admitted to the hospital, reporting pain in his knee, erythema and fever for 3 days. Upon examination, physicians noted he had “a moderate effusion and limited range of motion,” explains Collins. The patient had a total knee replacement, involving the same knee, 6 years earlier. Culture tests were negative

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delayed Babesia diagnosis

Delayed Babesia Diagnosis: Why Follow-Up Visits Matter

A delayed Babesia diagnosis can occur when symptoms emerge after initial Lyme disease treatment. Doctors diagnosed and treated a 67-year-old woman for early Lyme disease with a 21-day course of amoxicillin after she presented with an erythema migrans rash. (The woman was allergic to doxycycline.) Near the end of her treatment, the woman developed fevers

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tired, sleeping, fatigue

Don’t be misled: patients can have both mono and Lyme disease

These conditions are typically thought to occur separately with several published reports describing each illness as mimicking the other. But a new article by Koester and colleagues details the first cases of acute Lyme and EBV infections reportedly occurring concurrently. “We describe the clinical presentation of two children with confirmed early Lyme disease and features

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