Uncategorized

I will be discussing a 20-year-old girl with a 3 year history of multiple sclerosis treated with B cell suppressive therapy . She was prescribed two biological disease-modifying antirheumatic drug (DMARD). This article was written by Sjowall and colleagues in the journal Frontiers in Neurology. She was initially prescribed tocilizumab, marketed in the US as […]

I will be discussing two children ill with both Lyme disease and Mono. This case was described by Koester  and colleagues  in the journal Clinical Medicine & Research. Mono and Lyme disease are common diseases. What happens when child living in an area endemic for Lyme disease has both conditions? These are not the first

I will be discussing a case involving a 9-year-old boy with a pseudotumor cerebri due to Lyme disease This case was described by Ezequiel  and colleagues  in the journal BMJ Case Rep (2018). Pseudotumor cerebri means “false brain tumor” because its symptoms are similar to those caused by brain tumors. It’s also known as idiopathic

I will be discussing a unique case involving a 46-year-old Lyme disease patient who was left with tinnitus and hearing loss. This case was described by Jozefowicz-Korczynska   and colleagues  in the journal Frontiers in Neurology . A 46-year-old male farmer was hospitalized with a “sudden onset of tinnitus and hearing loss in the left

I will be discussing the case of a 66-year-old woman who ignored a Bull’s eye rash, indicative of Lyme disease, and later developed acute renal failure. This case was described by Mishra and colleagues  in the American Journal of Medicine . She presented with a tick bite followed by a rash.  She ignored the tick

This case involves a 7-year-old girl who developed multiple physical and neuropsychiatric symptoms six months after vacationing in a tick endemic region of the US. I first read about this case by Cross and colleagues in the journal Frontiers in Psychiatry. The patient’s symptoms were extensive, Jones explains, and included “dramatic declines in cognitive functioning,

Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig’s disease, is a progressive motor neuron disease. “In July 2018, that is, within six months, he developed paraparesis of both arms and also suffered from cramps in the shoulder girdle and hand muscles,” wrote the authors. “By August 2018, the patient was severely impaired in everyday

a 61-year old woman who was diagnosed with stage 2 breast cancer and later Lyme disease.   The woman underwent a  lumpectomy, chemotherapy and radiation. I first read about this case in the journal Diagnostics  by Ørbæk  and colleagues. One  year later, she developed leg and back pain so severe that narcotics would not even

A 36-year-old man suffered with severe neuropathic pain in both feet. The pain was severe at a level 10 out of 10 despite methadone 5 mg every four hours as needed. The doctors elected not to treat with antibiotic under the assumption that the tick-borne infection had resolved. I first read about this case in

The symptoms of Lyme disease can be severe and persist for year. Patients often report having extreme fatigue, sleep disturbances, mood disturbances, poor memory and concentration, headaches, dizziness, neck pain, tingling in hands and feet, and joint pain. Chronic and debilitating manifestations have been described, such as: Lyme encephalopathy 1,3 Lyme neuropathy 4 Neuropsychiatric Lyme disease 5