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Pediatric Lyme

Dizziness in Lyme Disease

What Long COVID Means for Chronic Lyme Disease

Why Long COVID May Change How We Understand Chronic Lyme Disease Persistent symptoms can follow an infection Routine tests may not explain continuing illness Long COVID research may offer broader lessons Long COVID may change how medicine understands chronic Lyme disease by encouraging broader recognition of persistent symptoms after infection. For decades, patients with fatigue, […]

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Doctors from different specialties representing the challenge of coordinating care in complex Lyme disease

Why Lyme Disease Doesn’t Fit Single-Disease Guidelines

Why Lyme Disease Doesn’t Fit Single-Disease Guidelines Lyme disease rarely appears as a single, isolated illness. Patients often arrive with fatigue, neuropathy, dizziness, cognitive problems, sleep disruption, gastrointestinal symptoms, and medication sensitivities—sometimes all at once. These overlapping problems can span multiple organ systems, creating a clinical picture that does not easily fit traditional disease categories.

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Misdiagnosed as ADHD in Children

Lyme Disease Misdiagnosed as ADHD in Children

“`html Lyme Disease Misdiagnosed as ADHD in Children Lyme disease can affect attention, behavior, and school performance Some symptoms may resemble ADHD in children and adolescents A broader evaluation may be needed when physical symptoms are present Over the years in clinical practice, I have evaluated a number of adolescents and children with suspected Lyme

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School Performance in Children

Can Children Go to School With Lyme Disease? School Problems, Brain Fog, and 504 Accommodations

Can Children Go to School With Lyme Disease? School Problems, Brain Fog, and 504 Accommodations School problems may be an early sign of Lyme disease Brain fog and fatigue can affect learning Early recognition and accommodations may help Lyme disease school problems in children may occur when infection affects cognition, sleep, energy regulation, and neurologic

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When Babesia Blocks Lyme Recovery

When Babesia Shouldn’t Wait: Treatment Sequencing in Lyme Disease

When Babesia Shouldn’t Wait: Treatment Sequencing in Lyme Disease Treatment order can influence recovery Untreated Babesia may sustain symptoms despite other therapies Clinical sequencing may matter in complex Lyme disease Treatment sequencing is an important but often overlooked aspect of managing complex Lyme disease. In patients with persistent symptoms, deciding what to treat first can

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Sudden Behavioral Changes

Behavioral Changes in Children With Lyme Disease

Can Lyme Disease Cause Sudden Behavioral Changes in Children? Sudden behavioral changes may occur in children with Lyme disease. Neurologic Lyme disease can affect mood, behavior, and emotional regulation. Early recognition and treatment may improve outcomes. Can Lyme disease cause sudden behavioral changes in children? Neurologic Lyme disease may contribute to irritability, aggression, anxiety, oppositional

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Facial Nerve Palsy in Children With Lyme Disease

Facial Palsy in Children: When It’s Lyme Disease—Not Bell’s Palsy

Can Lyme Disease Cause Bell’s Palsy or Facial Palsy? A sudden facial droop may be called Bell’s palsy In Lyme-endemic regions, facial palsy may point to Lyme disease Early recognition can change evaluation and treatment Can Lyme disease cause Bell’s palsy? Yes. Lyme disease is an important cause of facial palsy in both children and

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Can Lyme Disease Cause Gastrointestinal Symptoms in Children?

Can Lyme Disease Cause Gastrointestinal Symptoms in Children?

Can Lyme Disease Cause Stomach Pain? GI Symptoms in Children Children with Lyme disease may develop stomach pain or digestive symptoms GI symptoms may reflect autonomic dysfunction or neurologic involvement Abdominal pain alone rarely means Lyme disease Can Lyme disease cause stomach pain? Yes. Lyme disease can occasionally cause stomach pain and other gastrointestinal symptoms

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When Lyme Arthritis in Children Is Mistaken for Juvenile Idiopathic Arthritis

When Juvenile Idiopathic Arthritis May Actually Be Lyme Arthritis

When Juvenile Idiopathic Arthritis May Actually Be Lyme Arthritis Lyme arthritis may resemble juvenile idiopathic arthritisA markedly swollen knee with relatively little pain is an important clueJuvenile idiopathic arthritis remains a diagnosis of exclusion Lyme arthritis in children can closely resemble juvenile idiopathic arthritis (JIA). Both conditions may cause knee swelling, limping, stiffness, and reduced

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Lyme Disease and the Herxheimer Reaction in a Newborn: A Case Report

Herxheimer Reaction in Lyme Disease: Symptoms, Timing, and Treatment Temporary worsening of symptoms may occur after antibiotics A Jarisch-Herxheimer reaction is an inflammatory response Not every symptom flare during treatment is a Herxheimer reaction A Herxheimer reaction, also called the Jarisch-Herxheimer reaction (JHR), is a temporary inflammatory reaction that can occur shortly after starting antibiotic

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