Study identifies 189 children with Lyme carditis

In reviewing medical records from a Pediatric Health Information System (PHIS) database between 2007 and 2013, clinicians identified 189 children diagnosed with Lyme carditis. “The burden of Lyme disease and Lyme carditis in U.S. children’s hospitals has increased in recent years,” writes Beach and colleagues in Pediatric Cardiology.

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Radiologic findings in Lyme disease

Infectious pathogens, including viral, bacterial and parasitic, can impact the central nervous system (CNS), resulting in neurologic disease. “The infections caused by these pathogens often show a variety of neuroimaging patterns that can be identified [on a] CT scan and MRI,” explains Alves Simão and colleagues. ¹ Radiology, they argue, is central to the diagnosis and follow-up of these conditions. Therefore, “radiologists should be familiar with these infections.”

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C6 peptide test for Lyme disease may indicate Borrelia miyamotoi infection

The C6 enzyme immunoassay (EIA) is often used to diagnose Lyme disease. The test is based on the C6 peptide of the Borrelia burgdorferi sl VlsE protein. But a recent study suggests the C6 peptide test may also indicate an infection with Borrelia miyamotoi, another tick-borne disease.

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Pros and cons: Disease-modifying antirheumatic drugs (DMARD) for Lyme Arthritis

Editorial: I am concerned with the subgroup of Lyme arthritis (LA) patients described by Dr. Steere, who “developed a marked inflammatory, proliferative synovitis lasting months to several years after antibiotic treatment.”

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Could advanced imaging reveal cognitive impairment in Lyme patients?

Clinicians can now measure neurotransmitter levels in the brains of patients with mild cognitive impairment using magnetic resonance spectroscopy (MRS) with advanced 7 Tesla technology. MRS, also referred to as Nuclear Magnetic Resonance (NMR), shows the “levels of gamma-aminobutyric acid (GABA), glutathione and other neurotransmitters in brain regions of interest with greater precision than previous, lower-strength imaging systems,” explains Oeltzschner and colleagues. ¹

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Opinion: Consequences of antibiotic stewardship for Lyme disease patients?

Could antibiotic stewardship lead to delayed treatment for Lyme disease? In a recent article, researchers in England describe the potential consequences of antibiotic stewardship in an elderly population with urinary tract infections (UTI).

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Parents of children with Lyme disease describe fear and frustration

At least 25% of all reported Lyme disease cases in the United States involve children under age 14, according to the Centers for Disease Control and Prevention (CDC). Children and adolescents are among the most at-risk group for developing Lyme disease. Yet, their symptoms often go unrecognized or are dismissed, enabling the disease to progress.

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How many Lyme disease patients don’t meet strict diagnostic criteria?

In a recent article published in Open Forum Infectious Disease, Kobayashi and colleagues suggest that Lyme disease is often mistakenly diagnosed as causing various illnesses, which has led to the unnecessary use of antibiotics. The authors conducted a retrospective study of patients with possible Lyme disease, who were referred to an infectious disease clinic in Maryland between 2000 and 2013. ¹

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Hispanic population at greater risk for Lyme disease

Outdoor workers are at a greater risk of getting a tick bite than the general population. In fact, their risk is more than 5 times greater, explains Hu in the journal Zoonoses Public Health. Many of those outdoor workers are Hispanic, who represent “44.8% of grounds maintenance workers and 42.8% of workers in the farming, fishing and forestry industries,” Hu writes, citing U.S. Department of Labor Statistics from 2018.

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When do ticks quest, waiting for their next meal?

When ticks are questing, they hold onto leaves, grass and other objects with their third and fourth pair of legs. They hold their front legs outstretched, waiting to climb onto the host as it passes by. But, when do ticks quest?

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