Bannwarth syndrome in early disseminated Lyme disease

Man with Bannwarth syndrome and lyme disease huntched over and holding his lower back.
In this Inside Lyme Podcast episode, Dr. Daniel Cameron discusses the case of a 66-year-old man with Bannwarth syndrome with urinary retention in early Lyme disease.

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Points of view: Lyme disease patients and physicians

frustration in lyme disease patient as he talks to doctor
Raffetin and colleagues explore the perceptions and experiences of Lyme disease patients in an article entitled “Perceptions, Representations, and Experiences of Patients Presenting Nonspecific Symptoms in the Context of Suspected Lyme Borreliosis.” [1]

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High cost of treating Lyme arthritis in children with surgery

lyme arthritis in children being treated by doctor wrapping knee
A study by Tout and colleagues investigated how operative management impacts the clinical course and health care costs of pediatric patients hospitalized with Lyme arthritis. “We hypothesized that surgery does not improve clinical outcomes for children with Lyme arthritis but does increase resource utilization and cost,” the authors wrote.

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Southern Tick-Associated Rash Illness (STARI) and Lyme disease

Dr. Daniel Cameron discusses the case of a 63-year-old woman with STARI (Southern Tick-Associated Rash Illness) and provides a comparison with Lyme disease.

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Clinicians have difficulty identifying ticks

identifying-ticks
Dr. Cameron discusses findings from a recent study which examined the proficiency of clinicians at identifying ticks in the northeastern region of the United States.

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Case report: Powassan virus meningoencephalitis

death-powassan-virus
Powassan virus (POWV) is a rare tick-borne infection which can lead to encephalitis, meningitis, and meningoencephalitis in humans. In this case report, the authors describe a 62-year-old man who developed "rapid deterioration of mental status including profound expressive aphasia and required intubation and high-dose steroids." The man later tested positive for the Powassan virus. [1]

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Increase in tick bites during COVID-19 pandemic

tick-bites-COVID-19
In a recent article, “Effects of COVID-19 Pandemic on Reported Lyme Disease, United States, 2020,” McCormick and colleagues assessed how the pandemic might influence the risk of tick bites and affect patients seeking medical care and the reporting of Lyme disease cases.

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Physician frustration with Lyme disease patients

physician-frustration-lyme-disease-patients
In their study, “Primary care clinical provider knowledge and experiences in the diagnosis and treatment of tick‑borne illness: a qualitative assessment from a Lyme disease endemic community,” Mattoon and colleagues examined frontline and primary care doctor’s knowledge and practices for identifying patients with tick-borne diseases.

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Mitral valve dysfunction from Lyme carditis

Man being examined with stethescope for mitral valve problems from Lyme carditis.
Lyme carditis is an uncommon but important manifestation of Lyme disease. In their study, Malik and colleagues describe the case of a young man with Lyme carditis with left ventricular dysfunction and valvular involvement occurring one week after a tick bite. [1]

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Can pets harbor ticks, even in the winter?

A dog with ticks sitting in the woods in the winter season.
A recent study utilized TickSpotters, a photograph-based crowdsourced surveillance program to identify a variety of tick species found on domestic pets throughout the year. The findings revealed that ticks, although typically thought to pose a health risk in the spring and summer, are present in colder months, including in the winter.

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