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Exercise Intolerance in Lyme Disease: Why Activity Can Make Symptoms Worse Exercise intolerance in Lyme disease is common—and often misunderstood. Many patients find that even light activity can trigger fatigue, pain, or flu-like symptoms. Instead of building strength, exercise can sometimes make symptoms worse. If you’ve asked yourself, “Can you exercise with Lyme disease?”, the […]

Can You Recover From Lyme Disease? What to Expect Many patients ask whether they can recover from Lyme disease, and the answer is often yes—though recovery timelines vary. I’ve seen patients improve quickly when the diagnosis is made early, and I’ve also worked with patients who recovered more gradually after months or even years of

Can Lyme disease be mistaken for herpes? In their article “Disseminated Lyme disease with a herpetiform center,” Zhang et al.¹ described a patient who presented with a Lyme disease rash that could have been mistaken for herpes. The woman in her 30’s developed a herpetiform rash, which resembles herpes lesions. Initially, the patient developed a

Could Lyme disease have led to a spinal cord lesion? In their article “Case report: Dueling etiologies: Longitudinally extensive spinal cord lesion mimicking spinal cord infarct with simultaneous positive Lyme serology and amphiphysin antibody,”¹ Kalaszi and colleagues discuss the case of a patient who presented with a Bull’s-eye rash 6 months prior to his illness

Rituximab and B-Cell Therapy Can Delay Lyme Disease Diagnosis B-cell suppressive therapies such as rituximab can delay Lyme disease diagnosis. These medications reduce the body’s ability to produce antibodies — the same antibodies that standard Lyme disease tests rely on to detect infection. As a result, patients receiving immune-modulating therapy may have false-negative or borderline

Two children ill with both Lyme disease and Mono. 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

Lyme Disease Causing a “False Brain Tumor” in a Child In this Inside Lyme case discussion, I review a case involving a 9-year-old boy who developed pseudotumor cerebri due to Lyme disease. The case was described by Ezequiel and colleagues in BMJ Case Reports (2018). What Is Pseudotumor Cerebri? Pseudotumor cerebri literally means “false brain

Lyme disease patient left with tinnitus and hearing loss 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

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