Pediatric Lyme

Can Lyme Disease Be Diagnosed Without a Tick Bite? Many Lyme patients never recall a tick bite Erythema migrans may appear before tests turn positive Clinical diagnosis remains important in endemic areas A 6-year-old child presented to her pediatrician with a circular rash on the left side of her face. The pediatrician initially assumed the […]

Is Lyme Disease Permanent? Why Some Patients Recover and Others Do Not Lyme disease is often treatable when recognized early Some patients develop persistent or long-term symptoms Delayed diagnosis can complicate recovery Is Lyme disease permanent? For most patients, it is not. Many people recover, especially when Lyme disease is diagnosed and treated early. However,

Follow-Up Testing in Lyme Disease: Why It Matters An initial Lyme disease test may be negative Symptoms can change or worsen after the first evaluation Follow-up may include clinical reassessment, repeat testing, or additional studies Why does follow-up testing matter in Lyme disease? A published case involving a 75-year-old New York resident demonstrates how an

Lyme Disease Linked to Stroke in a 9-Year-Old Boy Lyme disease can occasionally cause serious neurologic complications in children. This case report describes a 9-year-old boy who developed a stroke associated with Lyme neuroborreliosis. Challenges diagnosing neurologic Lyme disease are discussed further in the Testing & Diagnosis guide. Neurologic symptoms such as dizziness, weakness, tremor,

The study included more than 1,000 children, average age of 9, who underwent evaluation for Lyme disease at 1 of the 5 participating emergency departments. The authors found that 65 out of 554 children (12%) could have been underdiagnosed. “Of the 554 children who the treating clinicians thought were unlikely to have Lyme disease (score

Can Lyme Disease Cause Stroke in Children? A Case Lyme neuroborreliosis can rarely lead to stroke in children Cerebral vasculitis may reduce blood flow and contribute to aneurysms Earlier neurologic symptoms preceded the stroke in this case Can Lyme disease cause stroke in children? Although rare, ischemic stroke has been reported in children with Lyme

Can Lyme Disease Cause Cardiac Arrest? A 12-Year-Old Case Cardiac complications from Lyme disease are rare Children may present with life-threatening symptoms Early recognition may improve outcomes Can Lyme disease cause cardiac arrest? Severe cardiac complications from Lyme disease are uncommon, but rare cases involving Lyme carditis can become life-threatening. This case describes a previously

What Does a Positive IgM Lyme Test Mean in Children? Positive IgM immunoblots are often questioned Most children in this study had evidence of Lyme disease A true IgM response may occur without a positive IgG test Lantos and colleagues examined the accuracy of the IgM immunoblot for Lyme disease in children and adolescents by