Lyme & COVID Blog and Podcast Archive
Blog & Podcast Posts – 2024
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Lyme carditis and heart failure 10/06/2024 - The 52-year-old woman from Pennsylvania developed shortness of breath, fever, chills, fatigue, and joint pain and stiffness over a 2-week period. She also reported dizziness and occasional pre-syncope (feelings of fainting). “Echocardiography demonstrated new-onset mildly depressed LV systolic dysfunction,” the authors state. “Interestingly, coronary CTA revealed coronary arteries with no evidence of stenosis or plaque.” […] Read More |
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What are co-infections? Co-Infections of Lyme Disease 10/06/2024 - In this video, we explore what co-infections are, including co-infections of Lyme disease, and how they can affect people battling this condition. Lyme disease, caused by the bite of an infected tick, can sometimes come with other infections, known as co-infections. These co-infections, like Bartonella, Babesia, and Ehrlichia, can complicate Lyme disease symptoms and make […] Read More |
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Young boy develops Powassan encephalitis after camping trip 09/11/2024 - This summer, a 9-year-old boy in Canada developed Powassan virus encephalitis, a life-threatening condition. In Pennsylvania, another young child was hospitalized with the virus. And, in April, an older man from Massachusetts was infected. Meanwhile, last year, a Maryland resident died from Powassan encephalitis after contracting it in Canada. Powassan virus – transmitted in 15 […] Read More |
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Abdominal pain, ileus and constipation due to Lyme disease 09/11/2024 - Welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I will be discussing the case of a 65-year-old woman with abdominal pain, ileus/pseudo-obstruction and constipation due to Lyme disease. By Dr. Daniel Cameron Zulfiqar and colleagues first described this case in an article entitled “The many manifestations […] Read More |
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Is It Lyme Disease? Unexpected Symptoms of Lyme disease 09/03/2024 - Case Study: Unexplained Foot Pain One of my patients experienced severe foot pain, even while walking to the bathroom. A podiatrist diagnosed him with plantar fasciitis, and he tried various treatments including icing, NSAIDs, stretching, iontophoresis, shoe inserts, and cortisone injections. Despite these efforts, his foot pain persisted. In addition to foot pain, he suffered […] Read More |
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Why Treating Lyme Disease Is More Complex Than You Think 09/03/2024 - By 1990, I had started prescribing intravenous ceftriaxone (Rocephin), based on emerging reports of its effectiveness in chronic neurologic Lyme disease. This adjustment was influenced by reports from doctors Dr. Logigian, Kaplan, and Steere, who documented the treatment of chronic neurologic Lyme disease cases. I added azithromycin (marked as Zithromax in the USA) and clarithromycin […] Read More |
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Don’t wait for a positive Lyme disease test 08/24/2024 - My patient took a “bury-your-head-in-the-sand” approach towards Lyme disease, which did not help him. He had been ill for more than 2 years, suffering from severe fatigue, brain fog, poor sleep, headaches, poor concentration, irritability, neck pain, chest pain, palpitations, stomach pains, and joint pain. He remained ill despite having been evaluated by several specialists […] Read More |
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Rifampin for Lyme Disease: When Doxycycline Isn’t Enough 08/24/2024 - When I first began treating Lyme disease in 1987, the primary antibiotic prescribed was doxycycline. This choice was driven by doxycycline’s effectiveness not only against Lyme disease itself but also against co-infections such as Ehrlichia and Anaplasmosis. These co-infections, often transmitted by the same ticks that carry Lyme, present additional challenges in patient management. However, […] Read More |
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TMJ arthritis triggered by Lyme disease 08/19/2024 - In the article, “Acute arthritis of the right temporomandibular joint due to Lyme disease: a case report and literature review,” the authors describe a 25-year-old patient who presented to a medical center with acute pain in the right temporomandibular joint and mouth opening disorders.¹ Over a 5-year period, the woman’s distal bite was treated with […] Read More |
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Can you get ticks from pets? 08/19/2024 - Can you get ticks from pets? Yes, and according to a study by Jones et al. owning indoor-outdoor pets increases your risk of being bitten by a tick and potentially exposing yourself to various tick-borne diseases. [1] Out of the 1,546 homes with pets, 88.1% used some form of tick control on their pets. Yet, […] Read More |
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Dissociative amnesia in a patient with post-treatment Lyme disease syndrome 08/08/2024 - Investigators describe the case of a 41-year-old patient, diagnosed with post-treatment Lyme disease syndrome (PTLDS), who, in addition to exhibiting typical PTLDS symptoms, also showed a severe retrograde episodic-autobiographical and semantic amnesia. In 2015, the patient exhibited weakness and loss of energy, psychomotor slowing, night sweats, and difficulties with attention. A few months prior to […] Read More |
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Single tick bite leads to 3 diseases in elderly woman 08/08/2024 - The woman was an avid gardener who had a history of COPD (chronic obstructive pulmonary disease) and high blood pressure. She was admitted to the hospital with dyspnea, fatigue, and a cough productive of yellowish mucoid sputum. The patient also had significant altered mental status, pallor, and peripheral edema. A lung examination revealed bibasilar crackles, […] Read More |
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Case studies: Babesia patients infected with Bartonella 07/30/2024 - “Droplet digital PCR assays (ddPCRs) were developed and validated in our laboratory to enhance the sensitivity of detection of Babesia, Bartonella and Borrelia spp. DNA in animal and human patient specimens,” according to Maggi and colleagues from the College of Veterinary Medicine at North Carolina State University. Investigators used digital PCR assays with enhanced sensitivity […] Read More |
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Homicide, two assaults, and suicide in Lyme disease patient 07/30/2024 - The article entitled “A Fatal Case of Late Stage Lyme Borreliosis and Substance Abuse,”1 describes a patient exhibiting aggressiveness, violence, and homicidality. Like many Lyme disease patients, the man experienced a delay in diagnosis and treatment. (One study reports that subjects enrolling in a trial of Lyme encephalopathy were ill an average of two years […] Read More |
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Chronic Lyme patient treated successfully with low dose Flagyl 07/21/2024 - A 55-year-old man developed numbness and burning in his legs, numbness in his hands, tinnitus, extreme weakness, intense pain, cramps at night and at rest, palpitations, paresthesias (pins and needles sensation), headaches, shortness of breath and orthostatic hypotension. In addition, “Fatigue was intense and incapacitating, accompanied by anxiety, difficulty concentrating, mental fogginess and sleep disturbances,” […] Read More |
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Facial paralysis due to Lyme disease initially attributed to a virus 07/21/2024 - The patient was admitted to the emergency department for acute back pain that had been progressively worsening over an 8-week period. The pain began 5 weeks after a minor surfing accident. Repeated X-rays and additional tests were normal. “The intensity of the pain is greater at night and the patient sleeps little. These pains are […] Read More |
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Lyme disease associated with kidney problems 07/07/2024 - Case #1 A 57-year-old woman presented to the hospital with shortness of breath. Two weeks earlier, she experienced nausea, fatigue, headache and myalgias, before developing dyspnea on moderate exertion, the authors state. She also reportedly had a rash on her shoulder. She was diagnosed with Lyme disease and initially treated with doxycycline. Concerned that she […] Read More |
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Lyme endocarditis diagnosed by PCR testing 07/07/2024 - A 40-year-old man presented to the emergency department with a headache that had been ongoing for 5 days and intermittent numbness in his left arm. CT scan and MRI of the brain revealed acute subarachnoid hemorrhage and the patient was admitted to the neurology unit for medical management of acute stroke. Additional testing “redemonstrated the […] Read More |
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Can ticks fly with the help of static electricity? 06/30/2024 - Scientists from the University of Bristol studied the naturally occurring electrostatic charges in animals. They reported their findings in a study entitled “Static electricity passively attracts ticks onto hosts.”¹ “Mammals, birds, and reptiles are known to carry appreciable net electrostatic charges, equivalent to surface potentials on the order of hundreds to tens of thousands of […] Read More |
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Cardiac problems after a 10-day course of treatment for Lyme disease 06/30/2024 - The 49-year old man had been diagnosed one month earlier with Lyme disease after testing positive and treated with a 10-day course of doxycycline. He was an avid hiker who had frequented trails in Pennsylvania, wrote Palmer and colleagues in their article “Atrial Flutter and Left Hemidiaphragmatic Paralysis in the Setting of Lyme Disease.”¹ The […] Read More |
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Lyme disease triggers seizures in young child 06/23/2024 - Nervous system Lyme disease has a wide spectrum of manifestations, including facial nerve palsy and subacute meningitis, which are often observed in the pediatric population, the authors state. But only rarely, have cases of seizures triggered by Lyme disease been reported. In their case report, the authors describe a 4-year-old boy who was admitted to […] Read More |
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Autism (ASD) symptoms improve following treatment for Lyme disease 06/23/2024 - “Case report: Substantial improvement of autism spectrum disorder in a child with learning disabilities in conjunction with treatment for poly-microbial vector borne infections,” by Drs. Offutt and Breitschwerdt describes the case of an adolescent diagnosed with autism spectrum disorder, who had cognitive and neuropsychiatric symptoms which improved following treatment for Lyme disease and Bartonella.¹ The […] Read More |
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Neck pain in a child with Lyme disease due to radiculoneuritis 06/19/2024 - The boy presented with fatigue, posterior lower neck pain, and a low-grade temperature of 100.8 for one day. There was no history of a tick bite, erythema migrans rash, or Bell’s palsy, suggestive of Lyme disease. There was pain in the soft tissues of the posterior neck and upper back. An Magnetic resonance image (MRI) […] Read More |
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Treatment for Relapsing Babesiosis? 06/10/2024 - As this case report demonstrates, immunocompromised patients with Babesia may not respond to standard antimicrobial treatment, resulting in relapsing babesiosis. But investigators suggest that a combination of medications including Malarone shows promise for treatment-resistant patients. In their article “Atovaquone-Proguanil: A Promising Therapy for Persistent Relapsing Babesiosis,” Shahid and colleagues describe a case of relapsing babesiosis […] Read More |
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Lyme arthritis symptoms in young child emerge years after tick bite 06/10/2024 - In their article, “Ten-year-old Omani Girl with Lyme Arthritis,” Mughaizwi and colleagues describe a young child who had lived in the United States for 5 years before moving to Oman.¹ One year after her return to Oman, she developed symptoms of Lyme arthritis. “We report a 10-year-old girl who presented with acute arthritis of the […] Read More |
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Wheelchair-bound CEO regains ability to walk after Lyme disease treatment 06/02/2024 - In this case report, “Exacerbation of Osteoarthritic Joint Pain by Lyme Disease,” Bennani and colleagues demonstrate the importance in identifying an underlying tick-borne infection, as appropriate treatment can dramatically improve a patient’s quality of life.¹ A 63-year-old man, who was wheelchair-bound, presented to his clinician’s office with severe pain in both knees, which had been […] Read More |
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Atypical Babesia symptoms in elderly man 06/02/2024 - In the article “An Atypical Case Presentation of Babesiosis,” Allen and colleagues describe a unique patient who contracted Babesiosis but did not exhibit many of the typical Babesia symptoms, such as night sweats, chills, shortness of breath and weight loss.¹ Instead, his symptoms were limited to weakness, fever, tachycardia and leg pain. CASE REPORT A […] Read More |
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Lyme disease can affect your eyes leading to various complications 05/22/2024 - Lyme disease is typically associated with flu-like symptoms or neurologic complications but an infection with Borrelia burgdorferi (the causative agent of Lyme disease) can also cause problems with your eyes. In their article, “Co-infectious Uveitis With Syphilis and Lyme Disease: A Case Report,”¹ Mandal and colleagues describe what they believe is the first documented case […] Read More |
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Lyme disease skin rash puzzles doctors, leads to misdiagnoses 05/22/2024 - Lyme disease can cause an atypical skin rash, which may be overlooked by clinicians. In this case report, a 43-year-old woman, who was an avid gardener and lived in Wisconsin, developed pink papules behind her right knee.1 Over the next several days, the rash “evolved into painless vesicles with surrounding faint erythema.” She also developed […] Read More |
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Case report: Lyme neuroborreliosis with encephalitis 05/13/2024 - A 74-year-old woman had been hospitalized four times over a period of three months. During these admissions, she was treated with antibiotics for a urinary tract infection, states Rosendahl and colleagues in their article “Lyme neuroborreliosis with encephalitis: A rare case.”¹ On her last admission, the woman exhibited confusion, paranoid delusions, a weight loss of […] Read More |
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Lyme disease causes mix of symptoms, including autonomic dysfunction 05/13/2024 - “Our case emphasizes that Lyme disease is capable of causing a mix of symptoms, which may be difficult to interpret, leading to a delay in diagnosis,” the authors write. And these symptoms may “develop consecutively further obscuring the clinical picture.” A 69-year-old male presented to the hospital with abdominal pain and hyponatremia, a condition that […] Read More |
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Woman develops Lyme disease symptoms after giving birth 05/05/2024 - A 23-year-old woman, who lived in Brooklyn, NY, had visited her primary care doctor complaining of bilateral knee swelling and pain. Three days prior, she had delivered a healthy baby girl. The pain was reported as 8/10 in severity and was exacerbated by walking, according to the authors. When the woman was 6 months pregnant, […] Read More |
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How long does it take for a tick to transmit Babesia? 05/05/2024 - The study is of particular interest given the news that Babesia cases are on the rise. According to a recent Morbidity and Mortality Weekly Report (MMWR) from the Centers from Disease Control and Prevention (CDC), there has been an alarming increase in the numbers of Babesia cases in the Northeastern U.S. [1] Eight states in this […] Read More |
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Atypical case of Lyme carditis in Florida woman 04/23/2024 - According to the authors, this patient presented with myocarditis-predominant Lyme carditis without cardiac conduction abnormalities – an unusual presentation given that 90% of Lyme carditis cases involve conduction abnormalities. A 57-year-old woman, who was immunocompromised and living in Florida, was admitted to the hospital for acute heart failure with reduced ejection fraction. Her symptoms included […] Read More |
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Lyme arthritis and periprosthetic joint infections 04/23/2024 - In their article, “Medically Managed Lyme Periprosthetic Joint Infection: A Case Report,” Saar et al. describe the case involving a patient with acute Lyme arthritis which was complicated by a previous total knee arthroplasty. A 68-year-old man living in Virginia presented to a medical clinic with suprapatellar swelling, pain, heat, and mild erythema of the […] Read More |
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Woman has multiple lone star tick bites after walk in park 04/16/2024 - A young woman presented to the emergency department with multiple tick bites and erythematous papules, along with headaches, fatigue and arthralgias. She had been walking her dog in the woods in a state park in the metropolitan area of Washington, D.C. She later found multiple ticks on her bedsheet and 30 ticks on her back, […] Read More |
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Case reports: Lyme disease infection causes carditis 04/16/2024 - In their article, “Lyme-Associated Pericarditis: A Case Report and Literature Review,” Ameer and colleagues describe an 18-year-old man who developed pericarditis due to Lyme disease.1 The patient who had a medical history of asthma, irritable bowel syndrome, and obsessive-compulsive disorder presented to the emergency department with complaints of chest pain. The pain was intense – […] Read More |
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Autopsy reveals multiple Borrelia species in brain of man with chronic Lyme disease 04/08/2024 - In their article, “Concurrent Infection of the Human Brain with Multiple Borrelia Species,” Golovchenko and colleagues describe the case involving a post-mortem brain autopsy on a man who suffered for more than 10 years with neurologic and psychiatric symptoms due to Lyme disease. The patient underwent repeated testing with “borderline positivity for Borrelia infection, followed […] Read More |
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Lyme disease or dementia? 04/08/2024 - The authors describe a case in which an elderly man with dementia was referred to an Alzheimer’s Disease Care Unit but later tested positive for Lyme disease. The 75-year-old man reportedly had only mild memory loss but was admitted to the unit due to hallucinations, confusion and aggressive behavior. Two weeks earlier, he was diagnosed […] Read More |
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A unique presentation of Lyme disease rash 03/28/2024 - In their study, “Atypical Lyme Disease Rash: A Case Report,” Khanna et al. describe the case of a 69-year-old woman, who tested negative for Lyme disease (according to CDC criteria), yet presented with an atypical Lyme rash. “Our patient only had one band positive on Western blot testing, which is not considered a positive result.” […] Read More |
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Delayed diagnosis of Lyme disease in North Carolina 03/28/2024 - Although North Carolina reportedly has some of the highest incidence rates of spotted fever rickettsiosis and ehrlichiosis, there have been fewer cases of Lyme disease reported – until recently. However, “many clinicians have limited experience with Lyme disease, and diagnostic errors are common,” Boyce et al. states. Cases of Lyme disease on the rise in […] Read More |
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Lyme disease leads to muscle weakness of the leg and constipation 03/17/2024 - An 80-year-old man, later diagnosed with Lyme disease, was admitted to the hospital with left leg paresis [muscle weakness], along with pain and sensory disturbances in his left abdomen. He also had a rash on his left lower abdomen, severe abdominal pain and constipation. The symptoms had been ongoing for 4-5 weeks. The patient had […] Read More |
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How does Lyme disease affect the brain? 03/17/2024 - Marvel and colleagues administered working memory tests to 12 subjects with Post Treatment Lyme disease (PTLD) and 18 healthy controls while undergoing functional MRI (fMRI). Investigators aimed to determine, using multimodal neuroimaging methods, how Lyme disease may affect the brain. A fMRI looks at the function of the brain by detecting the changes in blood […] Read More |
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Lyme disease causes diaphragm paralysis, resulting in breathing problems 03/10/2024 - According to the authors, diaphragm paralysis as a complication of Lyme disease was first reported in 1986. Since then, there have only been 4 cases involving bilateral paralysis of the diaphragm, which can cause breathing problems in patients. “… the presented case will be the fifth described case of bilateral diaphragmatic paralysis in the course […] Read More |
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Lyme-induced cardiac problems persist despite antibiotic treatment 03/10/2024 - The young woman was admitted to the emergency department with acute pleuritic chest pain and shortness of breath. (Pleuritic chest pain is characterized by sudden and intense sharp, stabbing, or burning pain in the chest when inhaling and exhaling.) The woman exhibited only mild tachycardia (100/min). However, “Considering the suspicion of acute myocarditis, the patient […] Read More |
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Case report: Meningitis secondary to Lyme disease 02/29/2024 - An 80-year-old man was admitted to a hospital in Pennsylvania, an area endemic for Lyme disease, due to increased weakness and confusion. He had “several days of nausea with decreased appetite, generalized malaise, fatigue, and weakness,” according to the authors. Cerebrospinal fluid (CSF) studies suggested aseptic meningitis. And a CT scan showed dilated ventricles. Treatment […] Read More |
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Borrelia antibodies found in patients with coronary heart disease 02/29/2024 - How many patients who underwent surgery for coronary heart disease (CHD) had evidence of a prior infection with Borrelia burgdorferi (the bacterium which causes Lyme disease)? A study by Pietruszka and colleagues, “Serologic Status of Borrelia burgdorferi sensu lato in Patients with Cardiovascular Changes,” sought to answer that question.¹ The authors examined the level of […] Read More |
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Lyme disease triggers autoimmune disease – Lupus 02/20/2024 - In their article “Lyme Borreliosis as a Trigger for Autoimmune Disease,” Yehudina and colleagues present a unique case in which an infection with Borrelia burgdorferi (the bacteria which causes Lyme disease) triggered the autoimmune condition, systemic lupus erythematosus (SLE), also referred to as lupus.¹ As the authors point out, “long-term exposure of the host’s immune […] Read More |
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Young adults most at-risk for Lyme carditis 02/20/2024 - Lyme carditis often presents with non-specific symptoms, such as lightheadedness, syncope, dyspnea, palpitations, and chest pain, the authors explain. While an estimated 30% of patients exhibit no symptoms. The most common clinical manifestation “is AV block, which can be acute in onset and can rapidly progress to complete heart block,” writes Carnazzo. In their article, […] Read More |
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Vision problems in patient with Lyme disease and giant cell arteritis 02/11/2024 - In their article “Through the Eyes of Uncertainty: Giant Cell Arteritis and Lyme Neuroborreliosis in a Story of Vision Loss,” Wan and colleagues describe a unique case in which an elderly woman, who tested positive for both giant cell arteritis and Lyme disease, developed vision problems including an abrupt loss of vision.¹ An acute loss […] Read More |
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Inside look at Lyme disease in Canada 02/11/2024 - Murison and colleagues discuss the findings in their report “Epidemiology and clinical manifestations of reported Lyme disease cases: Data from the Canadian Lyme disease enhanced surveillance system.”¹ “The results from this analysis describe the clinical manifestations associated with Canadian [Lyme disease] cases from the LDES system and show trends of LD diagnosis in several Canadian […] Read More |
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ALS and MS suspected in woman later diagnosed with Bartonella and Lyme disease 01/29/2024 - In their article, “Bartonella- and Borrelia-Related Disease Presenting as a Neurological Condition Revealing the Need for Better Diagnostics,” Ericson and colleagues describe the case of a 61-year-old female, who experienced a painful bite while hiking in Minnesota.¹ It was diagnosed as a spider bite because of the two large bite marks present and the painful […] Read More |
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Rocky Mountain Spotted Fever in Pregnancy 01/29/2024 - A 37-year-old pregnant woman was admitted to the hospital at 31 weeks gestation due to severe headaches and a fever that had been ongoing for 1 week. A few days prior to admission, she developed night sweats, chills, sweating, dyspnea and diarrhea. Her symptoms began while travelling in Washington. She reported hiking outdoors but did […] Read More |
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Babesia infection triggers autoimmune blood cell disorder 01/14/2024 - Autoimmune hemolytic anemia (AIHA) is a rare red blood cell disorder that occurs when antibodies directed against a person’s own red blood cells cause them to burst, leading to insufficient concentration in the blood. The disorder has only rarely been associated with a Babesia infection. An elderly man, with an intact spleen, was admitted to […] Read More |
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Atypical presentation of Rocky Mountain Spotted Fever 01/14/2024 - Rocky Mountain spotted fever was initially identified in the Rocky Mountain region. However, RMSF cases are now reported throughout the nation, with higher incidence in the southeastern and south-central regions. In their article, “Unconventional Rocky Mountain Spotted Fever Presentation From Kentucky: A Compelling Case Report and Literature Review,” Hussain and colleagues describe the case of […] Read More |
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Top 10 Lyme disease blogs for 2023! 01/07/2024 - 1) What does a Lyme flare up feel like? When a Lyme disease flare occurs, patients will notice a return of the symptoms they have experienced before or a worsening of existing symptoms. Some patients may also develop new symptoms. A flare-up can come and go and vary in intensity. What does a Lyme flare-up […] Read More |
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Chronic Lyme disease patients dismissed by medical community 01/01/2024 - In their article, “Medical Gaslighting and Lyme Disease: The Patient Experience,” Fagen and colleagues examine the extensive range of gaslighting techniques experienced by chronic Lyme disease patients.¹ And, explore the demographic variables (i.e., geographic location) that may be associated with higher rates of medical gaslighting. What is medical gaslighting? Gaslighting refers to a type of […] Read More |
Blog & Podcast Posts – 2023
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Hearing loss – a complication of Lyme disease 12/17/2023 - In their article “Isolated Sudden Bilateral Neurosensory Hearing Loss as a Presentation of Lyme Neuroborreliosis: A Case Study,” Rochd et al. discuss the case of a 23-year-old woman who “presented with a 2-month history of temporal headache, tinnitus, and instability, which was followed by sudden bilateral hearing loss without any other associated symptoms.”¹ The woman […] Read More |
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Lyme disease causes heart block within one month of infection 12/17/2023 - A 26-year-old man was admitted to the hospital with flu-like symptoms, syncope and exhibited third-degree atrioventricular heart block. He had experienced 3 episodes of syncope overnight and reported having a mild cough and congestion for several weeks prior to his admission. The man had a tick bite one month earlier while visiting his family in […] Read More |
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Can pets harbor ticks, even in the winter? 12/17/2023 - In their article, “An analysis of companion animal tick encounters as revealed by photograph-based crowdsourced data,” Kopsco and colleagues found, “The percentage of reports of ticks found on companion animals is more than doubled in the fall and winter seasons from what was reported in the spring and summer seasons.”¹ Between January 1, 2014 and December […] Read More |
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Lyme disease caused by Borrelia mayonii 11/29/2023 - Since the species was first identified 7 years ago, there have been only 7 reported cases of Lyme disease caused by Borrelia mayonii. In Open Forum Infectious Diseases Correspondence, McGowan and colleagues describe the recent case of a Borrelia mayonii infection in a 51-year-old man from northern Minnesota. The case is featured in a Letter […] Read More |
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Lyme disease causes cardiac complications 11/29/2023 - The case involved a 46-year-old man with Lyme disease who presented to the clinic with cardiac complications, which initially manifest as palpitations. The patient lived in a Lyme endemic region and reported that one month earlier, he had a “pinching sensation in his right thigh with an associated macular erythematous rash,” according to the authors. […] Read More |
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Case reports: Bartonella associated with psychiatric symptoms 11/14/2023 - In their 2007 article, “Do Bartonella Infections Cause Agitation, Panic Disorder, and Treatment-Resistant Depression?” Schaller and colleagues describe 3 patients with acute psychiatric symptoms associated with Bartonella-like sign and symptoms.¹ Each of the patients was exposed to ticks or fleas and manifest symptoms consistent with Bartonella, i.e., an enlarged lymph node near an Ixodes tick bite and […] Read More |
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Tick bite leads to Rocky Mountain spotted fever 11/14/2023 - Rocky Mountain spotted fever has primarily been reported in 5 states in the United States, according to the CDC. These include Missouri, Tennessee, Oklahoma, Arkansas, and North Carolina. However, RMSF has been documented in other states, as well. The disease can be transmitted by various ticks depending upon the region. In the eastern U.S., it’s […] Read More |
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How effective is combination antibiotic treatment for tick-borne infections? 10/31/2023 - In their article “A Longitudinal Study of a Large Clinical Cohort of Patients with Lyme Disease and Tick-Borne Co-Infections Treated with Combination Antibiotics” Xi and colleagues looked at 140 individuals who tested positive for tick-borne infections (TBI) with 33% of those patients infected with multiple TBIs.¹ The authors found that out of the 140 participants: […] Read More |
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Anaplasmosis associated with cardiac complications 10/31/2023 - Over the last several years, there has been a three-fold increase in the number of anaplasmosis cases in the United States. The tick-borne illness can be transmitted through the bite of an infected blacklegged (deer) tick and causes flu-like symptoms, similar to those seen in Lyme disease. Anaplasmosis has only rarely been associated with cardiac […] Read More |
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Acute Lyme disease causes complete heart block 10/06/2023 - “A suspected case of Lyme disease causing complete heart block,” by Isha and colleagues describes a unique case of Lyme carditis in a 21-year-old man, in which symptoms emerged early on in the disease. “Although such manifestations occur late, our case report describes an interesting case where the patient developed a complete heart block in […] Read More |
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Lyme neuroborreliosis mimics Guillain-Barré Syndrome 10/06/2023 - In this case report, the authors describe a 33-year-old man with Lyme neuroborreliosis, who was initially diagnosed with Guillain-Barré Syndrome based on his clinical, radiographic and neurodiagnostic test results. Guillain-Barré Syndrome “can range from a very mild case with brief weakness to nearly devastating paralysis, leaving you unable to breathe independently.”1 GBS typically develops after […] Read More |
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Borrelia burgdorferi causes prosthetic joint infection 09/25/2023 - The 68-year-old woman presented to the orthopedic clinic with pain and swelling in her right knee, which had been ongoing for 2 weeks. Eight years earlier, she had a total knee replacement but lived pain free following the surgery. One month prior to her knee pain, the patient had been treated with steroids for pain […] Read More |
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Anaplasma phagocytophilum infection triggers encephalitis 09/25/2023 - Anaplasmosis is a tick-borne disease caused by the bacterium Anaplasma phagocytophilum. Symptoms typically start 1 to 2 weeks after a tick bite. And while some patients may be asymptomatic, others can experience life-threatening complications, including encephalitis. In fact, the mortality rate is higher in patients who do not immediately receive doxycycline treatment, who are immunocompromised […] Read More |
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4 cases of Powassan virus encephalitis 09/17/2023 - Powassan virus (POWV) can cause severe disease, including infection of the brain (encephalitis) or infection of the membranes around the brain and spinal cord (meningitis). Symptoms may include confusion, loss of coordination, difficulty speaking, and seizures. An estimated 1 out of 10 people with POWV encephalitis or POWV meningitis will die from the disease, according […] Read More |
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Pregnancy, breast feeding and Lyme 09/10/2023 - Welcome to another selection from my book “An Expert’s Guide on Navigating Lyme disease.” The book highlights the findings of my first 600 Lyme disease Science blogs. In this episode, I will discuss pregnancy, breast feeding, and Lyme disease. Pregnancy and breast feeding are particularly concerning topics for Lyme disease patients and their doctors. Here […] Read More |
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Severe anaplasmosis leads to multi-organ complications 09/10/2023 - In their case report “Severe Anaplasmosis With Multiorgan Involvement in a Rheumatoid Arthritis Patient,” Aydin et al. describe a 66-year-old woman, residing in Connecticut, who was admitted to the emergency department with confusion and lethargy. The patient was disoriented and had been experiencing fever, chills, generalized weakness, and poor appetite over the past 2 days. […] Read More |
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Disturbed hearing, sleep, and smell in Lyme 09/05/2023 - Welcome to another selection from my book “An Expert’s Guide on Navigating Lyme disease.” The book highlights the findings of my first 600 Lyme disease Science blogs. In this episode, I will discuss disturbed hearing, sleep, and smell in Lyme. By Dr. Daniel Cameron Lyme disease can lead to disturbed hearing, sleep, and smell. Lyme […] Read More |
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Altered mental status due to Lyme disease 09/04/2023 - An 84-year-old man was admitted to the hospital due to an altered mental status. He had a history of stroke and mild to moderate dementia. According to his wife, he had been having hallucinations 3 to 4 days prior to his hospitalization. And although he suffered from dementia, his symptoms had recently worsened. Four weeks […] Read More |
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Babesiosis causes false-positive HIV test results 08/26/2023 - Investigators describe the case of a patient with acute babesiosis who prior to treatment tested positive for HIV. The 60-year-old man was admitted to the emergency department with intermittent fever, fatigue, anorexia, and worsening jaundice for three weeks. He was referred by his primary care doctor due to abnormal laboratory values and parasites in the […] Read More |
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Military Lyme 08/26/2023 - Welcome to another selection from my book “An Expert’s Guide on Navigating Lyme disease.” The book highlights the findings of my first 600 Lyme disease Science blogs. In this episode, I will discuss Lyme disease and its impact on members of the military. Few papers address the issues of Lyme disease for members of the […] Read More |
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Can Lyme disease cause seizures? 08/20/2023 - In their article “Lyme neuroborreliosis: A case report,” Sayad and colleagues demonstrate that Lyme disease can, in fact, cause seizures. “Here, we present a case of neuroborreliosis with seizures as the first manifestation in a 55-year-old man.”¹ The patient was admitted to the emergency department with a sudden onset of tonic–clonic seizures. (This type of […] Read More |
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Celebrities with Lyme disease 08/20/2023 - Welcome to another selection from my book “An Expert’s Guide on Navigating Lyme disease.” The book highlights the findings of my first 600 Lyme disease Science blogs. In this episode, I will discuss the struggles and successes for celebrities with Lyme disease. Celebrities shared their struggle. The following celebrities shared their struggles with Lyme disease […] Read More |
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Full body numbness and tingling due to Lyme disease 08/13/2023 - The 25-year-old female developed numbness and tingling throughout her torso, which later spread to her entire body. She presented to a neurology clinic with complaints of numbness and tingling that had been ongoing for the past 4 weeks. She did not recall a rash or tick bite and had not recently travelled. The woman did […] Read More |
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Lyme frustration 08/13/2023 - Welcome to another selection from my book “An Expert’s Guide on Navigating Lyme disease.” The book highlights the findings of my first 600 Lyme disease Science blogs. In this episode, I will discuss doctor and patient Lyme frustration. A doctor’s perspective when his son was diagnosed with Lyme. A researcher from the University of Pennsylvania […] Read More |
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Children with Lyme disease 08/06/2023 - Welcome to another selection from my book “An Expert’s Guide on Navigating Lyme disease.” The book highlights the findings of my first 600 Lyme disease Science blogs. In this episode, I will discuss children with Lyme disease. Lyme disease can interfere with learning. Children with chronic symptoms can suffer both academically and physically. Neurological, psychiatric, […] Read More |
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No evidence of Post-Treatment Lyme Disease in children treated early 07/30/2023 - Some children developed prolonged symptoms of neuroborreliosis (NB), including pain, fatigue or concentration difficulties, which can last more than 6 months after completing treatment, according to the authors. These patients were diagnosed with Post-Treatment Lyme Disease Syndrome (PTLDS). Clinicians are divided over the cause of PTLDS, with some even questioning its existence. “Some experts believe […] Read More |
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Suicidal and homicidal Lyme concerns 07/30/2023 - Welcome to another selection from my book “An Expert’s Guide on Navigating Lyme disease.” The books highlights the findings of my first 600 Lyme disease Science blogs. In this episode, I will discuss suicidal and homicidal concerns in Lyme disease patients. By Dr. Daniel Cameron Dr. Robert Bransfield from Rutgers-Robert Woods Johnson Medical School, Department […] Read More |
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Lyme pain 07/26/2023 - Welcome to another selection from my book “An Expert’s Guide on Navigating Lyme disease.” The books highlights the findings of my first 600 Lyme disease Science blogs. In this episode, I will discuss Lyme pain. By Dr. Daniel Cameron Reported pain associated with Lyme disease includes headaches, eye pain, neck pain, chest pain, abdominal pain, […] Read More |
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After a tick bite, how long for disease transmission? 07/23/2023 - People often ask: How long does it take for disease transmission to occur after a tick bite? According to investigators, Lyme disease may be transmitted faster if the tick previously fed on another host. In a 2014 article entitled “Lyme borreliosis: a review of data on transmission time after tick attachment,” Michael J Cook explored […] Read More |
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Lyme disease misdiagnosed as psoriatic arthritis 07/17/2023 - The man, in his 70’s, presented with dactylitis (severe swelling of the fingers or toes), onycholysis of the nails (nail separates from the skin) and scalp psoriasis, which lead to the diagnosis of psoriatic arthritis. However, he did not respond to treatment with corticosteroids or disease-modifying antirheumatic drugs. “A skin biopsy was performed showing histopathological […] Read More |
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A unique presentation of an EM rash 07/17/2023 - In the case report, “A Non-Classical Presentation of Erythema Migrans in a 51-Year-Old Woman With Early Manifestation of Lyme Neuroborreliosis (Bannwarth Syndrome),” Lorquet et al. describe a 51-year-old female who presented with general malaise, headache, neck stiffness, and an expanding rash consistent with Lyme neuroborreliosis.2 The woman reported having a worsening of her symptoms over […] Read More |
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Review: Borrelia miyamotoi 07/07/2023 - In their article, “Human Borrelia miyamotoi Infection in North America,” Burde and colleagues discuss the frequency and location of infection in ticks and people, clinical presentation and complications, diagnosis, treatment, and prevention. Prevalence of B. miyamotoi B. miyamotoi-infected ticks have been reported throughout the northeastern, northern Midwestern, and western United States. They’ve also been detected […] Read More |
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Manicured greenspaces harbor infected ticks 06/25/2023 - It was once thought that well-kept, manicured yards, for instance, were safe and free of ticks. No longer. As this study finds, ticks can be found even in the most well-groomed recreational spaces. In their study, “Ticks and Tick-Borne Pathogens in Recreational Greenspaces in North Central Florida, USA,” Bhosale and colleagues examined the potential risk […] Read More |
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Case report: Lyme neuroborreliosis triggers multiple strokes 06/12/2023 - In their article, “A case report of unilateral cerebral vasculitis in adults: keep in mind Lyme neuroborreliosis,” Riescher and colleagues examine the case of a 58-year-old man “with recurrent strokes in the same vascular territory without CSF pleocytosis, reflecting an unusual first manifestation of [Lyme neuroborreliosis].”¹ The authors point out that cerebral vasculitis is reported […] Read More |
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3 Lyme disease vaccines in the pipeline 06/12/2023 - In 1998, the first Lyme disease vaccine was introduced by LYMErix but it was pulled from the market after 3 years due to poor sales and possible safety concerns. The FDA was never able to confirm that the vaccine caused harm despite concerns. Only recently have drug makers resumed researching new human Lyme vaccines. “But […] Read More |
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Neurologic complications of Babesia 06/05/2023 - In their study, “Neurologic Complications of Babesiosis,” the authors “sought to describe the type and frequency of neurologic complications of babesiosis in a group of hospitalized patients and assess risk factors that might predispose patients to neurologic complications.” They examined the medical records of 163 patients admitted to Yale-New Haven Hospital in New Haven, Connecticut […] Read More |
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Case study: Lyme disease in patient with Long COVID 06/05/2023 - The authors cited the World Health Organizations definition of Long COVID as follows: definition of Post COVID-19 – “Post COVID-19 condition occurs in individuals with a history of probable or confirmed SARS CoV-2 infection, usually 3 months from the onset of COVID-19 with symptoms that last for at least 2 months and cannot be explained […] Read More |
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Investigators question the term “Australian Lyme” 05/31/2023 - The authors looked at patients admitted to their infectious disease clinic in Australia between 2014 – 2020. “Patients were included if they had debilitating symptoms suggested by either themselves or the referring clinician as being attributed to ticks.” They acknowledged that there are ill patients who have been seen at their infectious disease clinic who […] Read More |
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What parts of the body do ticks prefer to bite? 05/23/2023 - In their study, “Human attachment site preferences of ticks parasitizing in New York,” Hart and colleagues describe which body parts black-legged and lone star ticks prefer to bite.¹ They collected ticks, submitted between April and December 2020 from individuals living in New York State, along with online questionnaires indicating where the tick was attached. They […] Read More |
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Does Lyme disease affect the brain? 05/23/2023 - In their article entitled “Common Neurologic Features of Lyme Disease That May Present to a Rheumatologist,” Govil et al. describe the various ways that Lyme disease can affect the brain. The authors hope to make rheumatologists aware of the most common neurologic presentations of Lyme disease.1 It is particularly important, the authors write, for rheumatologists […] Read More |
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Abnormal MRI leads to Lyme encephalitis diagnosis 05/15/2023 - In their article “Lyme neuroborreliosis with encephalitis: A rare case,” Rosendahl and colleagues describe a 74-year-old immunocompromised woman, who was admitted to the hospital with confusion, paranoid delusions, weight loss, back pains, and a history of fever and vomiting suspect of cancer and infection of unknown origin.¹ The woman had been hospitalized 4 times over […] Read More |
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Borrelia miyamotoi infection: An emerging tick-borne disease in California 05/11/2023 - “Although B. miyamotoi has been identified in ticks in California for more than 20 years, locally acquired human cases within the western United States have not been described [in the literature],” according to Rubio et al. In this case report, the authors describe an immunocompromised man living in California diagnosed with Borrelia miyamotoi infection.¹ The […] Read More |
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Is SOT an effective treatment for Lyme disease? 05/11/2023 - In their article “Supportive Oligonucleotide Therapy (SOT) as a Potential Treatment for Viral Infections and Lyme Disease: Preliminary Results,” Apostolou and colleagues describe findings from a study aimed to evaluate the efficacy of SOT in 115 patients with either Epstein–Barr (EBV), Herpes Simplex Virus or Lyme Disease.¹ Oligonucleotide was administered intravenously to the participants and […] Read More |
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Tick control methods not effective in residential neighborhoods 04/30/2023 - In their study, “Impacts Over Time of Neighborhood-Scale Interventions to Control Ticks and Tick-Borne Disease Incidence,” Ostfeld and colleagues examined the effectiveness of tick control methods in 24 residential neighborhoods endemic for Lyme disease in New York.¹ The study, conducted over several years, assessed the impact of tick control system (TCS) bait boxes and Met52 […] Read More |
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Lyme carditis patients may require temporary permanent pacemaker 04/30/2023 - However, the authors of a new case report suggest that for some Lyme carditis patients, placement of a temporary permanent pacemaker (TPPM) may be an effective and safe alternative. In their article, “A Practical Ambulatory Approach to Atrioventricular Block Secondary to Lyme Carditis,” Aromin and colleagues describe the case of a 31-year-old man who presented […] Read More |
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Can skin color affect medical students’ ability to diagnose Lyme disease? 04/23/2023 - So, how prepared are medical students to properly diagnose patients of all races and ethnicities? Do they have the diagnostic ability and confidence in making a diagnosis, such as Lyme disease, for individuals with non-white skin color? In the study, “The impact of patient skin colour on diagnostic ability and confidence of medical students,” Dodd […] Read More |
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Alpha-gal syndrome: Foods to Avoid 04/23/2023 - Alpha-gal syndrome typically presents with abdominal pain, diarrhea, nausea or vomiting. But it can also lead to swelling of the face or throat, voice changes, difficulty breathing, hives, or fainting, according to recent article “AGA Clinical Practice Update on Alpha-Gal Syndrome for the GI Clinician: Commentary,” by McGill and colleagues.¹ According to the authors, the […] Read More |
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Case report: Lyme disease causes inflammation of the spinal cord 04/16/2023 - In their article “Case report: Subacute transverse myelitis with gait preservation secondary to Lyme disease and a review of the literature,” Colot and colleagues describe a 10-year-old boy who suffered from neck pain with irradiation in the upper limbs for 13 days. Transverse myelitis (TM) is an inflammation of both sides of one section of […] Read More |
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Podcast: Lyme disease and Long-COVID in a 16-year-old girl 04/16/2023 - Dr. Cameron recently published this case, taken from a Lyme disease and COVID survey, in a study entitled “Consequences of Contracting COVID-19 or Taking the COVID-19 Vaccine for Individuals with a History of Lyme Disease.”¹ LISTEN TO THE PODCAST BELOW The case involved a 16-year-old girl with a history of a tick bite, erythema migrans […] Read More |
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Dr. Cameron’s Lyme disease toolbox 04/02/2023 - Two Cases Profiles in Lyme disease – Sophie Profiles in Lyme disease – Ira 17 minute introduction to Lyme disease Lyme 101: an introduction (4 minutes) Symptoms and manifestations of Lyme disease (4 min) Co-infections (5 min) Treatment decisions (4 min) Top blogs Babesia and Lyme, It’ s worst than you think What does a […] Read More |
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Case reports: Orbital myositis due to Lyme disease 03/29/2023 - Orbital myositis is typically caused by systemic disease, such as Grave’s disease, or haematological disorders like lymphomas, the authors explain. In these cases, myositis is often bilateral. It has been reported, as well, as a rare manifestation of Lyme disease. In these two cases, myositis was confirmed by MRI findings. Patient #1: 68-year-old female “The […] Read More |
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Lyme carditis presents without typical Lyme disease symptoms 03/29/2023 - The authors describe a 70-year-old male who presented to the hospital without any typical Lyme disease symptoms, but exhibited generalized symptoms of progressive orthopnea and dyspnea on exertion. The man had a medical history of hypertension and calcific aortic stenosis. His lab results were “significant for an increased erythrocyte sedimentation rate of 136, white blood […] Read More |
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Round bodies, blebs and biofilms in Lyme disease 03/23/2023 - In an effort to better understand their significance, Corak and colleagues “grew B. burgdorferi spirochete, round body, bleb, and biofilm-dominated cultures and recovered their transcriptomes by RNAseq profiling.” Their non-spirochete morphotypes were induced by simple changes in growth conditions. The authors described three pleomorphic forms as follows: “Spherical B. burgdorferi cells with intact and flexible […] Read More |
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Intravenous antibiotics helpful for PTLDS 03/15/2023 - In their study “Efficacy and safety of antibiotic therapy for post-Lyme disease? A systematic review and network meta-analysis,” Zhang and colleagues described a meta-analysis review of four Randomized Clinical Trials (RCT) addressing Post-Treatment Lyme Disease Syndrome.¹ The four randomized controlled trials included 485 subjects who met the following inclusion criteria: Randomized controlled trials Patients with […] Read More |
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What does Borrelia miyamotoi cause? 03/15/2023 - The authors explain, “Immunocompetent, and otherwise healthy, patients present with milder, flu-like symptoms: fever, fatigue, sleepiness, chills, muscle and joint stiffness, aches and pains, and nausea.” And, “While uncommon, relapses of febrile episodes can occur.” In fact, the symptoms may be mild enough that an individual with Borrelia miyamotoi disease may not seek medical care. However, […] Read More |
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Fatal case of Heartland Virus 03/05/2023 - Now, investigators have identified the Heartland virus in the Maryland and Virginia region – an area where the virus is not widely recognized. In their article “Fatal Case of Heartland Virus Disease Acquired in the Mid-Atlantic Region, United States,”¹ Liu and colleagues describe the fatal case of a man in his 60’s who acquired the […] Read More |
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Borrelia miyamotoi can be transmitted from mother ticks to offspring 03/05/2023 - In their article “Borrelia miyamotoi: A Comprehensive Review. Pathogens,” Cleveland and colleagues discuss Borrelia miyamotoi as an emerging tick-borne pathogen and and how it can be transmitted from a mother tick to their offspring. Cleveland et al. reviewed the proposed vertical transmission of B. miyamotoi.¹ An adult female tick infected with B. miyamotoi lays eggs. […] Read More |
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Pacemakers for Lyme carditis 02/23/2023 - Lyme disease can directly infiltrate the heart leading to an exaggerated inflammatory response when spirochetes penetrate the heart. Lyme carditis can appear within 1 to 2 months after the onset of a Lyme disease infection, wrote Yeung and Baranchuk.¹ They point out, the most common presentation of LC (90%) is high-degree atrioventricular (AV) block (AVB). […] Read More |
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Similarities of Long-COVID and Lyme disease in children 02/23/2023 - The authors explored the current Long-COVID literature, and specifically addressed the cardiovascular, thrombotic and cerebrovascular disease, type 2 diabetes, myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) and dysautonomia seen in Long-COVID. The authors did not include Lyme disease in their discussion. “One study found that fatigue, headache, dizziness, dyspnoea, chest pain, dysosmia, dysgeusia, reduced appetite, concentration difficulties, […] Read More |
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Stroke associated with Lyme disease in a 59-year-old man 02/15/2023 - The study entitled “Ischemic Stroke With Hemorrhagic Conversion in a Case of Lyme Neuroborreliosis” by Sathi and colleagues describes the case of a 59-year-old man who presented to a hospital in Florida with ischemic stroke with aphasia and acute confusion that had been ongoing for two days. The patient had a medical history which included […] Read More |
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Increasing spread of Lyme disease in Europe 02/15/2023 - The existence of Lyme disease in Greece remains controversial. In a recent study “Serological evidence of possible Borrelia afzelii lyme disease in Greece,” Karageorgou and colleagues examined patients throughout Greece suspected for Lyme disease by enzyme-linked immunosorbent assay (ELISA) and by western blotting for Borrelia burgdorferi sensu lato species. “We found one patient positive for […] Read More |
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Can anaplasmosis cause heart problems? 02/05/2023 - In their article, “Case report: human granulocytic anaplasmosis causes acute myopericarditis with atrial fibrillation,” Levy et al. describe the case of a 65-year-old man who presented to the emergency room with fever and malaise, which had persisted for one week.¹ An electrocardiogram showed new atrial fibrillation and conduction abnormalities. The man resides in a suburb […] Read More |
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Can Lyme disease cause speech issues? 02/05/2023 - “Lyme disease has been associated with a wide variety of persistent neuropsychological and cognitive symptoms, including: impaired attention, focus, concentration, judgment, and impulse control,” in addition to impaired memory and speech functions, according to an article published by Amen Clinics.¹ Recent studies of patients with post-treatment Lyme disease syndrome (PTLDS) have found “consistent deficits in […] Read More |
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Patient contracts Babesia from a blood donor 01/26/2023 - In their article “Transfusion-transmitted babesiosis in a patient with sickle cell disease undergoing chronic red cell exchange,” Costa and colleagues describe a patient who contracted Babesia from a donor living in Ohio, a state that is not considered endemic for Babesia.¹ According to the authors, a 30-year-old man with sickle cell disease (SCD) required approximately […] Read More |
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Black children more likely to be diagnosed later with Lyme disease 01/26/2023 - One study found black patients with Lyme disease were more likely to present with disseminated disease. The authors suggested, “This may be due to failure to recognize early disease (erythema migrans) among African Americans, resulting in increased rates of late manifestations.”¹ Ly reported similar results using 2015–2016 claims data sample of Traditional Medicare beneficiaries. “Among […] Read More |
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The many presentations of the Lyme disease rash 01/18/2023 - In the study “The Spectrum of Erythema Migrans in Early Lyme Disease: Can We Improve Its Recognition?,” investigators examined images of lesions from 69 participants, including 43 men and 26 women, suspected to have early Lyme disease. The majority of participants (83%) presented with a single lesion.¹ The images were retrospectively evaluated by a dermatologist […] Read More |
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How can Lyme disease affect babies? 01/18/2023 - The authors recruited their participants through a Lyme disease-focused organization, but eligibility was open to anyone over 18 years of age who had been pregnant. They included participants who did not develop symptoms until after their pregnancies and individuals who were not treated for Lyme disease (LD) for years after their pregnancy despite being symptomatic […] Read More |
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How common is Lyme carditis in patients referred for pacemaker implantation? 01/08/2023 - In the study “Prevalence of Lyme Carditis in Patients with Atrioventricular Blocks,” Kaczmarek and colleagues aim to identify patients in whom Lyme carditis (LC) should be considered as the underlying cause of AV conduction disturbances.¹ Investigators examined 130 patients with AVB who had been consecutively admitted over a 12-month period, to the Department of Electrocardiology […] Read More |
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How serious is Babesia? 01/08/2023 - In the article “Failure of an Approximately Six Week Course of Tafenoquine to Completely Eradicate Babesia microti Infection in an Immunocompromised Patient,” Prasad and Wormser describe a chronic relapsing Babesia infection in an elderly woman.¹ The 74-year-old patient was admitted to the hospital in August 2021 with a 2-day history of fatigue and fevers. She […] Read More |
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Top 10 blogs for 2022! 01/02/2023 - The following blogs were the most popular for readers in 2022. (Click on the headline to read the full blog.) 1) Tafenoquine: Treatment for relapsing Babesia This case report describes an immunocompromised patient with Babesia microti who received treatment with tafenoquine after experiencing several relapses. The 36-year-old man was hospitalized in 2019 due to unexplained […] Read More |
Blog & Podcast Posts – 2022
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Can Lyme disease mess with your thyroid? 12/26/2022 - In their article “Coexisting Thyroiditis and Carditis in a Patient with Lyme Disease: Looking for a Unifying Diagnosis,” Zarghamravanbakhsh and colleagues described the case of a 53-year-old woman who was found to have carditis and painless, autoimmune thyroiditis, likely due to Lyme disease.¹ A few days after returning from a trip to Delaware, the woman […] Read More |
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MRI can help identify Lyme arthritis in children, avoid unnecessary surgery 12/18/2022 - “Distinguishing Lyme arthritis (LA), the most common manifestation of the disease in children, from septic arthritis (SA) can be challenging because of overlap in clinical presentations,” the authors state. In this study, investigators “assessed the predictive value of MRI as an aid in identifying LA.” They examined the medical records and MRI scans of children […] Read More |
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Lyme disease presents as brachial plexopathy and meningitis 12/18/2022 - In their article “Early Lyme neuroborreliosis manifesting as brachial plexopathy and meningitis in Northwestern Ontario, Canada,” Gu and colleagues describe a case of Lyme disease presenting as brachial plexopathy and meningitis.1 The 76-year-old man was initially admitted to the hospital with left arm weakness and neck pain. He also had a 3-day history of body […] Read More |
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Why are doctors reluctant to treat Lyme disease? 12/11/2022 - Findings from a study by Johnson and Maloney, “Access to Care in Lyme Disease: Clinician Barriers to Providing Care,” provide some insight into why clinicians may be hesitant in treating Lyme disease.¹ “The primary goal of this study was to identify the challenges faced by clinicians who provide care for patients with PLD/CLD,” the authors […] Read More |
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Are Lyme disease patients at greater risk for developing severe COVID-19? 12/04/2022 - A new study looks at the risk of severe COVID-19 in patients with a history of exposure to Lyme disease. In their study “Correlation between COVID-19 severity and previous exposure of patients to Borrelia spp.,” Szewczyk‑Dąbrowska et al.² examined 3 groups of patients: those with severe COVID-19 (hospitalized), asymptomatic to mild COVID-19 (home treated or […] Read More |
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Prolonged Babesia infection in patient with asplenia 12/04/2022 - In their study “Trust the Process: Prolonged Babesia Parasitemia in an Elderly Man with Asplenia from the American Midwest,” Ivancich and colleagues describe an 89-year-old man with multiple comorbidities and splenectomy, who required 8 weeks of treatment for his Babesia infection to clear.¹ The man was evaluated after a fall at home. Prior to the […] Read More |
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Illinois clinicians demonstrate gaps in understanding of tick-borne co-infections 11/27/2022 - Carson and colleagues surveyed clinicians between August 2020 and February 2022 and reported their findings in the article “Knowledge, attitudes, and practices of Illinois medical professionals related to ticks and tick-borne disease.” ¹ The respondents included RNs (61.3%), physicians (21.4%), and APNs/PAs (17.3%). The authors found that clinicians were best at identifying Lyme disease. Out […] Read More |
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Powassan virus encephalitis contracted during winter months 11/17/2022 - In their article “Powassan Encephalitis: A Case Report from New York, USA,” Bazer and colleagues describe a male patient who was admitted to the hospital in December due to altered mental status, dysarthria, and a left facial droop.¹ The man also had a history of multiple medical problems including of a right putamen infarct, hepatitis […] Read More |
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3 benefits of telemedicine for Lyme disease 11/17/2022 - The study, entitled “The Impact of Telemedicine in the Diagnosis of Erythema Migrans during the COVID Pandemic: A Comparison with In-Person Diagnosis in the Pre-COVID Era,” compares clinical data of 439 patients with an erythema migrans (EM) rash before and after the onset of the COVID-19 pandemic.¹ Participants in the study were being treated at […] Read More |
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Lyme disease triggers neuropathy in the legs 10/30/2022 - A case report by Lazaro and Butt, published in the International Medical Case Reports Journal, describes a 67-year-old patient with Lyme disease and femoral neuropathy.¹ This is believed to be the first reported case of isolated femoral neuropathy triggered by Lyme disease. Femoral neuropathy, also referred to as femoral nerve dysfunction, involves a loss of […] Read More |
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Can Lyme disease cause cognitive dysfunction or dementia? 10/30/2022 - The question of whether Lyme disease could cause dementia was addressed by Wormser and colleagues in an article entitled “Lack of Convincing Evidence That Borrelia burgdorferi Infection Causes Either Alzheimer Disease or Lewy Body Dementia,” published in the journal Clinical Infectious Diseases.¹ The authors reviewed a paper by Gadila et al.² which concluded that a […] Read More |
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One year after infection, patient shows signs of Lyme meningitis 10/19/2022 - In their article “Lyme neuroborreliosis as a cause of sudden sensorineural hearing loss and facial palsy,” Nitro and colleagues present a case involving a woman in her 40’s who developed a sudden loss of hearing in both ears, along with facial palsy and was later diagnosed with Lyme meningitis.¹ “Bilateral hearing loss is rare,” the […] Read More |
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Use of disulfiram for Lyme disease 10/19/2022 - Disulfiram was initially marketed in the U.S. as Antabuse as an alcohol sobriety aid which deters alcohol consumption by eliciting physical discomforts (e.g., headache, nausea, hypotension). It’s use as a possible treatment for Lyme disease has been described in several recent studies. Borrelia burgdorferi, the bacteria responsible for Lyme disease, possesses survival strategies in humans. […] Read More |
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Neurological manifestations of Babesiosis 10/11/2022 - Individuals with babesiosis can experience fevers, chills, myalgias, anorexia, headache, nausea, and vomiting. According to the authors, “The least common are shortness of breath, sore throat, neck stiffness, emotional lability, photophobia, and dark urine.” In their study entitled “Atypical Presentation of Babesiosis With Neurological Manifestations as Well as Hematological Manifestations,” the authors summarize two cases […] Read More |
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Can Lyme disease trigger a cascade of costly, unnecessary tests? 10/03/2022 - Dr. Meredith Niess discussed the case in more detail in an NPR story.[1] A man was scheduled for hernia surgery. A preoperative X-ray was ordered despite the paucity of evidence of whether the X-ray was needed. The X-ray suggested a mass. The patient was worried about cancer. Cancer was ruled out. “In fact, a follow-up […] Read More |
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Anesthetic concerns for Lyme disease patients 10/03/2022 - In her article “Lyme Disease and Anesthesia Considerations,” Smit discusses three approaches: Disease awareness Some patients may have Lyme disease that has not been diagnosed. “Infected patients in whom the diagnosis has not yet been made or has been missed may present for invasive investigations such as biopsies or arthroscopies or for larger surgical interventions […] Read More |
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Lyme disease and herxheimer reaction in newborn 09/25/2022 - In 2020, investigators published a case involving a 13-year-old boy with Lyme arthritis, a common manifestation of Lyme disease, who developed a Herxheimer reaction when treated with doxycycline. On the 7th day of treatment, the boy developed a low-grade fever and severe arthralgias with intense hip, ankle and cervical spine pain and myalgias. You can […] Read More |
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Successful removal of pacemakers in patients with Lyme carditis 09/25/2022 - In their study “Pacemaker Explantation in Patients With Lyme Carditis,” Wamboldt and colleagues¹ describe two cases involving the removal of pacemakers in patients with Lyme carditis, which highlights the importance of including Lyme carditis in the differential diagnosis for high-degree AV block. Furthermore, these cases demonstrate the “benefits of early device interrogation in patients who […] Read More |
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‘Near-universal’ negative experiences with healthcare providers reported by Lyme disease patients 09/13/2022 - “Healthcare providers frequently struggle to provide effective care to patients with chronic Lyme-associated symptoms…potentially causing these patients to feel misunderstood or neglected by the healthcare system,” the authors wrote. They listed 6 themes that emerged from the participants experiences: Late diagnosis, abandonment, loss, unpredictability, lack of understanding, and a need for a holistic experience. The […] Read More |
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Lyme meningitis leading to hyponatremia 09/06/2022 - There are many causes of hyponatremia. Any disorder of the central nervous system, including infections, can trigger it. However, only a few case reports of Lyme meningitis or Lyme neuroborreliosis have been published with a focus on hyponatremia, according to the authors. Hyponatremia is a condition that occurs when the level of sodium in the […] Read More |
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Lyme arthritis with rheumatoid arthritis leads to poor quality of life 09/06/2022 - In the study “Assessment of quality of life in patients with Lyme arthritis and rheumatoid arthritis,” Yuskevych and colleagues surveyed 90 patients with Rheumatoid Arthritis who were treated at their rheumatology clinic.¹ Nearly 50% of the patients with Rheumatoid Arthritis also tested positive for Lyme disease. Survey results indicated, “The presence of Borrelia burgdorferi [the […] Read More |
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Erythema migrans rash doesn’t always have bull’s eye appearance 08/29/2022 - Several reports have found urticarial, linear, granulomatous, and bullous erythema migrans presentations associated with Lyme disease, as well. And as this case series highlights, “several erythema migrans variants have been reported, which may result in misidentification as well as delayed diagnosis and treatment.”¹ In their article, “Vesiculobullous Lyme disease: A case series,” the authors describe […] Read More |
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Single dose doxycycline for treatment of tick bite only prevents Lyme disease rash 08/29/2022 - In the article, the authors reference the 2006 Infectious Diseases Society of America (IDSA) guidelines when making their recommendation that “individuals be treated with a single dose of doxycycline (4 mg/kg in children ≥8 years of age to a maximum 200 mg and 200 mg in adults)”. [1] Their recommendation applies only to patients meeting […] Read More |
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When babesiosis turns deadly 08/23/2022 - The man presented to the emergency department with fatigue, generalized weakness and intermittent subjective fevers. The symptoms had worsened over a 2-week period. The patient also complained of headaches, vision changes, nausea, vomiting and diarrhea. And had a medical history of type 2 diabetes and intermittent asthma. “He denied any known recent tick or animal […] Read More |
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Meningoencephalitis due to Borrelia miyamotoi 08/23/2022 - A 73-year-old man was admitted to the hospital with a 16-day history of confusion and intermittent headaches. He was an avid gardener and reportedly had tick bites in the past but none that he noticed in the weeks prior to his symptoms. Initially, he developed “right-sided facial droop and associated numbness, confusion, and word-finding difficulties,” […] Read More |
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Tick bite induces red meat allergy 08/17/2022 - “The patient reported that a typical episode occurred approximately 5 to 8 hours after the ingestion of a beef product,” wrote the authors. “Symptoms consisted of increased heart rate to 170–180 beats per minute, skin redness, lightheadedness, blurred vision, and shortness of breath.” The man experienced 9 of these episodes over a 4-year period. Each […] Read More |
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COVID-19: When Lyme disease and tick-borne illnesses may not be considered 08/17/2022 - The woman presented with fever, myalgias, diarrhea, and a dry cough. The authors discuss the risk of premature closure in such cases. “Premature closure refers to forming a conclusion and stopping the diagnostic assessment too early in the diagnostic process, in which case alternative possibilities may not be explored and the wrong diagnosis may be […] Read More |
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Transverse myelitis and Lyme disease – a case. 08/11/2022 - I will be discussing a 25-year-old man with transverse myelitis and Lyme disease. “He showed gradual improvement in gait, motor and sensory functions of his lower extremities along with a resolution of neurogenic bowel.” wrote the authors. The authors added. “He continues to need intermittent self-catheterization for neurogenic bladder.” By Dr. Daniel Cameron Dumic and […] Read More |
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Congenital transmission of Babesia, diagnosed in twin at 5 weeks old 07/25/2022 - The patient was born at 36 5/7 weeks by C-section. At five-weeks-old the newborn presented to the emergency department with pallor, increased lethargy and difficulty feeding. The newborn was “more difficult to arouse and very pale compared to her twin brother,” the mother reported. In additionally, “She was feeding with a similar frequency, however, with […] Read More |
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Case series: No complications with Lyme disease and pregnancy 07/14/2022 - The first confirmed case of LB [Lyme borreliosis] in a pregnant woman was described in 1985 in a 28-year- old mother who was infected with LB in the first trimester and delivered her baby at 35 weeks, the authors explained, based on a paper by Schlesinger et al.² “The mother developed symptoms consistent with LB […] Read More |
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A Babesia infection 3 weeks after treatment for Lyme disease. An Inside Lyme podcast. 07/14/2022 - I will discuss a 67-year-old woman with a Babesia infection 3 weeks after treatment for Lyme disease. Could this delay explain why some patients remain ill or relapse. By Dr. Daniel Cameron Hoversten and her colleague first discussed this case in the British Medical Journal Case Reports in 2018. One would expect that tick-borne infections would […] Read More |
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Tafenoquine: Treatment for relapsing Babesia 07/07/2022 - A 36-year-old man was hospitalized in 2019 due to unexplained fevers he had been having for two weeks. He was later diagnosed with Babesia with 8.5% of his blood showing the parasite. He had been diagnosed with granulomatosis with polyangiitis in 2001 and was considered immunocompromised related to treatment 2 years earlier with rituximab, a […] Read More |
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Facial nerve dysfunction after treatment for Lyme disease 06/26/2022 - In their study, Wormser and colleagues found that 6 of the 11 Lyme disease patients (54.5%) suffered from facial nerve dysfunction an average of 13.1 months following the onset of treatment with corticosteroids.¹ 52-year-old man with “tearing of left eye when eating (Bogorad’s syndrome); mild residual weakness left side.” 51-year-old man with “mild residual left […] Read More |
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Babesia and Anaplasmosis in a child with B-cell acute lymphoblastic leukemia 06/26/2022 - “A 5-year-old male with National Cancer Institute (NCI) standard risk B-cell acute lymphoblastic leukemia (B-ALL), in remission and receiving standard maintenance chemotherapy, was admitted to another hospital with fever, emesis, diarrhea, headache, and lethargy in July,” wrote Ungar. The child had been diagnosed 32 months earlier with B-ALL and remained in complete remission following induction […] Read More |
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Anaplasmosis leading to neurological symptoms of trigeminal neuralgia 06/19/2022 - According to the authors, the woman experienced a “sudden onset of severe, lancinating headache in the distribution of the fifth cranial nerve bilaterally.”¹ She had been treated for Lyme disease two months earlier following a tick bite and a rash on her torso. She had since been bitten by a non-engorged tick. Her neurologic exam […] Read More |
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Lyme disease with bilateral facial palsy, formally known as Bell’s palsy 06/19/2022 - Less than 2% of facial palsy cases are bilateral.¹ “Unlike unilateral facial palsy, it is often caused by a serious underlying systemic disease and therefore warrants urgent medical intervention,” wrote Yang and Dalal in their article “Bilateral Facial Palsy: A Clinical Approach.”² “A previously healthy 10-year-old boy presented in late August with a one-day history […] Read More |
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Unilateral knee swelling in a child due to Lyme disease 06/12/2022 - According to the authors, “The mother initially denied history of a tick bite, yet after focused questioning, the mother stated that the child had ticks on her approximately 9 months ago.” Unfortunately, the child was not taken to her clinician because she did not develop any skin rashes which could indicate Lyme disease. The child […] Read More |
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Optic neuritis associated with Lyme disease 06/12/2022 - The case features a 48-year-old female with multiple sclerosis (MS) who presented to her primary care physician with a fever and sore throat. Three weeks later, she returned complaining of photophobia, eye pressure sensation, blurry vision, pain with eye movements and central scotoma on the morning prior to her visit. (A scotoma is a blurry […] Read More |
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Lyme disease triggers vertigo and hearing loss 05/29/2022 - A recently published study by Sowula and colleagues provides further evidence that Lyme disease can trigger vertigo and hearing loss. In their article “Vertigo as one of the symptoms of Lyme disease,” the authors examine the frequency of vertigo symptoms and potential labyrinth damage in patients with diagnosed Lyme disease.4 The study included 38 patients […] Read More |
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Clinicians had difficulties identifying ticks 05/29/2022 - Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, 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. By Dr. Daniel Cameron The study by Laga and colleagues entitled “Proficiency at Tick Identification […] Read More |
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Lower socioeconomic status: a risk factor for disseminated Lyme disease 05/25/2022 - Moon et al. explored the risk factors for disseminated Lyme disease using an electronic database from the Geisinger integrated health care system located in Pennsylvania. They based their data on both diagnostic and narrative text data. One out of three of their disseminated Lyme disease cases were classified as disseminated cases. “Lyme arthritis was the […] Read More |
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Prior trauma may worsen symptom severity of Lyme disease 05/22/2022 - The authors cited earlier research by Solomon and colleagues on the role of prior trauma in Lyme disease.² “The investigators noted that patients who reported a higher number of lifetime traumatic events (i.e., a higher trauma score) at initial presentation were more likely to report a painful, disabling symptom course at follow-up.” Mustafiz and colleagues […] Read More |
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POTS similarities seen in Long-COVID and Lyme disease 05/15/2022 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this podcast, I will discuss the American Autonomic Society’s statement on Long-COVID postural tachycardia syndrome. By Dr. Daniel Cameron The statement was published in the journal Clinical Autonomic Research by Raj and colleagues.¹ CLICK BELOW TO WATCH VIDEO PODCAST […] Read More |
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Child with Lyme disease diagnosed with radiculopathy 05/15/2022 - A 10-year-old boy presented with fatigue, posterior lower neck pain, and a low-grade fever of 100.8. “The soft tissues of the posterior neck and upper back were tender with allodynia,” wrote Baker and colleagues in the American Journal of Emergency Medicine.² They added, the Magnetic Resonance Imaging (MRI) of the cervical spine showed “questionable” nerve […] Read More |
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No Lyme disease evaluation as part of a post-COVID-19 assessment? 05/08/2022 - Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron will be discussing a paper which makes no mention of a Lyme disease evaluation as part of a post-COVID assessment. By Dr. Daniel Cameron The case was first described by Roth and colleagues in the journal Global Advances […] Read More |
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Could there be subclinical cardiac involvement in early Lyme disease in children? 05/08/2022 - In an earlier study by Woolf and colleagues, nearly 1 in 5 children (19.6%) children with an erythema migrans (EM) rash or a positive two-tier Lyme serology had EKG evidence of carditis. Twenty-four of the children had atrioventricular (11.2%). Their study did not report troponin levels.¹ High-sensitivity cardiac troponin assays have been used to identify […] Read More |
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How to protect yourself from ticks with Permethrin-treated clothing 05/02/2022 - As more individuals begin to venture outside with warmer weather, there are often concerns over how to protect yourself from ticks. Researchers have examined not only the effectiveness of various repellents and protective clothing but also the behavior of individuals who are more likely to encounter ticks. Researchers in Indiana looked at the protective measures […] Read More |
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Birds vs. rodents in transmitting tick-borne pathogens 05/02/2022 - In their study, “Transmission patterns of tick-borne pathogens among birds and rodents in a forested park in southeastern Canada,” Dumas et al. “investigated and compared the role of breeding birds to rodents in local transmission dynamics of B. burgdorferi s.s., A. phagocytophilum and B. miyamotoi, which are emerging pathogens in southeastern Canada.”¹ Researchers collected ticks and rodents from the Mont Saint-Bruno National Park […] Read More |
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Lyme disease triggers inflammation in “hindbrain” 04/20/2022 - In their article, “Neuroborreliosis with involvement of rhombencephalon: A case report,” ¹ Svingen and colleagues describe a unique presentation in which Lyme disease triggered inflammation of the rhombencephalon, a region of the brain also referred to as the hindbrain. Over an 8-month period, the patient experienced intermittent fevers, dry cough, fatigue, headaches, night sweats, unintentional […] Read More |
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Lyme myocarditis in patient with no other signs of Lyme disease 04/20/2022 - The 37-year-old man developed Lyme myocarditis without displaying any clinical symptoms of Lyme disease. He did not recall a tick bite or rash. He resided in Germany and had been receiving immunosuppressive treatment for MPA. The man initially presented to the emergency department with fatigue, palpitations and shortness of breath, which had been ongoing for […] Read More |
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28-year-old woman with a history of Lyme disease describes side effects following her COVID-19 vaccine – a case discussion 03/29/2022 - Case A 28-year-old single white Latina woman with a history of a tick bite and erythema migrans rash who contracted Lyme disease while on vacation. She was not able to finish her college degree and was unemployed at the time of the survey. She had a positive IgG Western blot test for Lyme disease and […] Read More |
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Side effects of COVID-19 vaccines in individuals with Lyme disease 03/29/2022 - COVID-19 vaccine side effects in Lyme disease patients HIGHLIGHTS Question: Some individuals with a history of Lyme disease have expressed concerns that their Lyme disease symptom burden would increase if they were vaccinated for COVID-19. What is the clinical presentation of someone with a history of Lyme disease who has taken the COVID-19 vaccine? Findings: […] Read More |
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Experiences of individuals with a history of Lyme disease who contracted COVID-19 03/21/2022 - HIGHLIGHTS Question: What is the clinical presentation of someone with a history of Lyme disease who have contracted a COVID-19 infection? Findings: This cross-sectional Survey reveals a high symptom burden in 1168 individuals with a history of Lyme Disease. The symptom burden was the highest for the 288 individuals with a history of Lyme disease […] Read More |
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A 16-year-old girl and a 28-year-old woman with a history of Lyme disease shared their experiences after contracting COVID-19 03/21/2022 - Cases of Lyme Disease with COVID-19 Case 1: A 16-year-old girl with a history of a tick bite, erythema migrans rash, Bell’s palsy and a swollen knee. Her Lyme disease test was positive with 5 of 10 IgG Western blot bands. She had been ill for five years. She had also been diagnosed with chronic […] Read More |
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Severity of Lyme disease even without contracting COVID-19 or being vaccinated against COVID-19 findings 03/21/2022 - HIGHLIGHTS Question: What is the clinical presentation of someone with a history of Lyme disease who has not contracted COVID-19 or taken the COVID-19 vaccine? Findings: This cross-sectional Survey reveals a high symptom burden in 289 individuals with a history of Lyme Disease who had not contracted COVID-19 or taken the COVID-19 vaccine. They had […] Read More |
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Concerns individuals with a history of Lyme disease have with the COVID-19 vaccine. 03/12/2022 - Cases of Lyme Disease and COVID-19 Case 1: A 45-year-old white woman with a partial college education was working as a groundskeeper. She had a history of Hashimoto’s Thyroiditis, irritable bowel syndrome, and viral meningitis. She had been ill for 37 years. There was not a history of a deer tick bite or erythema migrans. […] Read More |
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In for the Long Haul: Lyme & COVID-19 03/10/2022 - This video is about a free webinar Q&A with Jennifer Crystal, noted Lyme patient and writer, on COVID-19 and Lyme disease in 2021. The video was sponsored by Global Lyme Alliance. This webinar Q&A helped inspire me to devote the past year to sponsor a COVID & Lyme Survey. I will be discussing cases and […] Read More |
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COVID-Lyme disease survey: First findings, a discussion with Dr. Horowitz 03/09/2022 - Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron teams up with Dr. Richard Horowitz to discuss findings from a survey entitled, Burden of COVID-19 and the COVID-19 vaccine for individuals with Lyme disease. By Dr. Daniel Cameron Nearly 800 people (n=782) participated in the survey. 84% […] Read More |
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Sjögren’s syndrome secondary to Lyme disease 03/09/2022 - In this Inside Lyme Podcast, I discuss the case of a 43-year-old woman with Sjögren’s syndrome secondary to Lyme disease. The woman’s diagnosis was changed from possible Lymphoma to primary Sjögren’s syndrome to secondary Sjögren’s syndrome. By Dr. Daniel Cameron Smiyan and her colleague first discussed this case in the journal Reumatologia in 2019. CLICK BELOW TO […] Read More |
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Soldier dismissed from active duty after failing Lyme disease treatment 02/20/2022 - Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron will be discussing the case of a 21-year-old soldier who was dismissed from active duty after failing treatment for multiple illnesses including Lyme disease. By Dr. Daniel Cameron The case was first described by Melanson and colleagues in […] Read More |
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Are military family members at risk for Lyme disease? 02/20/2022 - A study by Schubert and Melanson, entitled “Prevalence of Lyme Disease Attributable to Military Service at the USMA, West Point NY: FY2016–2018,” looks at the exposure of military personnel and their families to the Ixodes scapularis (or black-legged) tick, the vector of Lyme disease. [1] The authors examined cases of Lyme disease treated at a […] Read More |
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Lyme disease: An underdiagnosed cause of mono-arthritis? 02/14/2022 - Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron will be discussing the case of a 26-year-old man who was diagnosed with mono-arthritis after his clinical evaluation overlooked the possibility of Lyme disease. The case was described by Marcelis and colleagues in a paper entitled “Lyme disease: […] Read More |
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Diagnosing Lyme arthritis of the hip in children 02/14/2022 - “The clinical presentation of Lyme arthritis (LA) of the hip can be similar to both acute bacterial septic arthritis (SA) and transient synovitis (TS),” explains Cruz and colleagues. ¹ “Differentiating between SA, LA, and TS of the hip can be challenging, even for the most discerning clinician.” But, accurately diagnosing these conditions is important since […] Read More |
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Case review: 80-year-old with Lyme encephalopathy instead of dementia 02/04/2022 - “While mostly vigilant and awake, he intermittently lacked full orientation, had reduced attention, concentration, short-term memory function, increased motor activity, mild formal thought disorder (incl. some tangential thinking), but no frank psychotic symptoms,” the authors explain. The man was diagnosed with delirium, potentially related to dementia. An abnormal F18-FDG-PET scan was interpreted as consistent with […] Read More |
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Anaplasmosis in the brain 01/25/2022 - Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron will be discussing the case of a 64-year-old woman with central nervous system involvement of the brain. By Dr. Daniel Cameron The case was first described by Mullholand and colleagues in the British Medical Journal in a paper […] Read More |
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Lyme disease and the heart, when AV block progresses rapidly 01/24/2022 - Lyme disease can trigger various heart problems, including Lyme carditis, which typically occurs early on in the disease. “Lyme carditis is an important reversible cause of heart block, especially in endemic areas,” wrote Aljadba et al. in their article, “Lyme carditis manifesting as Wenckebach heart block.”¹ “Prompt recognition of this potentially lethal condition, with appropriate initiation […] Read More |
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Lumbar puncture not all that helpful for diagnosing Lyme neuroborreliosis? 01/16/2022 - Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron will be discussing a case which examines the diagnostic value of a lumbar puncture in Lyme neuroborreliosis. By Dr. Daniel Cameron The case was first described by Portales-Castillo and colleagues in the journal Cureus in a paper entitled […] Read More |
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Tick bite leads to Guillain-Barré Syndrome 01/09/2022 - Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron will be discussing the case of a 71-year-old woman who was initially diagnosed with Ehrlichia, a tick-borne illness but later developed Guillain-Barré Syndrome. By Dr. Daniel Cameron The study, entitled “Case of ehrlichiosis induced Guillain-Barre Syndrome in a […] Read More |
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Co-infections Babesiosis and Lyme disease, missed diagnosis can have “dire consequences” 01/09/2022 - The woman had a three-week history of a fever (maximum temperature, 104 F], chills, nausea, and productive cough of yellow sputum. Six weeks prior to her onset of symptoms, the woman had been vacationing in Connecticut, an area endemic for Lyme disease. She reported having 2 tick bites during the previous year. Her examination and […] Read More |
Blog & Podcast Posts – 2021
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Top 10 Podcasts for 2021! 12/31/2021 - 1.) Involuntary body movements due to Lyme disease dismissed as psychosomatic A man in his 70’s had an abrupt onset of involuntary body movements, including jerks in his left arm. Doctors initially dismissed him as having a functional disorder. However, his involuntary body movements were due to Lyme disease. 2.) Bannwarth syndrome in early disseminated Lyme […] Read More |
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Top 10 Lyme disease blogs for 2021! 12/23/2021 - 1.) Should Lyme disease patients with an impaired immune system get the COVID-19 vaccine? The Centers for Disease Control and Prevention (CDC) posted mRNA COVID-19 vaccination considerations for people who have a weakened immune system. “People with HIV and those with weakened immune systems due to other illnesses or medication might be at increased risk […] Read More |
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Lyme arthritis in children can present throughout the year 12/16/2021 - The study’s objective was to “evaluate the seasonality of pediatric Lyme disease in three endemic regions in the United States,” writes Sundheim. Participants had been treated at 8 different medical centers throughout the Northeast and UpperMidwest. Of the 690 children with Lyme disease, 77 (11.2%) had a single EM lesion, 247 (35.7%) had early disseminated […] Read More |
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Potential barriers to accepting a Lyme disease vaccine 12/08/2021 - Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron discusses the potential barriers to the public’s acceptance and utilization of a Lyme disease vaccine. By Dr. Daniel Cameron The study, “Understanding consumer and clinician perceptions of a potential Lyme disease vaccine,” was published by Devchand and colleagues […] Read More |
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Lyme disease in an African American child with Down’s syndrome 12/08/2021 - Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron discusses the case of a 3-year-old African American child with Down’s syndrome, developmental delays and disseminated Lyme disease. By Dr. Daniel Cameron “A case of disseminated Lyme disease in a child with skin of color” was published by […] Read More |
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Bannwarth syndrome in early disseminated Lyme disease 11/21/2021 - Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron will be discussing the case of a 66-year-old man with Bannwarth syndrome with urinary retention in early Lyme disease. By Dr. Daniel Cameron Omotosho and colleagues described this case in an article entitled “A Unique Case of Bannwarth […] Read More |
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Points of view: Lyme disease patients and physicians 11/21/2021 - The authors looked at the perceptions, representations, and experiences of patients who had Lyme disease with nonspecific symptoms and no objective manifestations of the disease. This small study included 12 patients with confirmed and non-confirmed Lyme disease or unexplained symptoms. “Our study highlights that some physicians may also experience a lack of knowledge and information […] Read More |
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High cost of treating Lyme arthritis in children with surgery 11/15/2021 - In their article “The Impact of Operative Intervention in Pediatric Lyme Arthritis,” Tout et al. described 149 children admitted to a tertiary care children’s hospital in Pennsylvania who had been diagnosed with Lyme arthritis between 2008 and 2018.¹ All of the children met the CDC case definition, had Lyme arthritis, and were culture negative. The […] Read More |
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Southern Tick-Associated Rash Illness (STARI) and Lyme disease 11/15/2021 - Welcome to another Inside Lyme Podcast with your host Dr. Daniel Cameron. In this episode, Dr. Cameron will be discussing the case of a 63-year-old woman who was diagnosed with Southern Tick-Associated Rash Illness (STARI). By Dr. Daniel Cameron In their article “Southern Tick-Associated Rash Illness: Florida’s Lyme Disease” Abdelmaseih and colleagues describe the woman’s […] Read More |
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Case report: Powassan meningoencephalitis 11/07/2021 - The patient presented to the hospital with fevers, headaches, fatigue, and a history of night sweats, according to the case report, “Powassan Meningoencephalitis: A Case Report Highlighting Diagnosis and Management.” He had a history of chronic lymphocytic leukemia (CLL), Lyme disease, and reactive arthritis. He was not on any medication for Lyme disease or CLL. And […] Read More |
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Increase in tick bites during COVID-19 pandemic 10/26/2021 - “The data suggested that individuals were more likely to spend time outside, more likely to visit the CDC website describing tick bite removal, were less likely to visit an ER, and tested for Lyme disease,” according to the authors.¹ Approximately 50% of U.S. residents spent more time outdoors in 2020 than in 2019, but fewer […] Read More |
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Physician frustration with Lyme disease patients 10/26/2021 - They found that some physicians are frustrated with Lyme disease (LD) patients. “Providers described challenges and frustrations in counseling patients with strong preconceptions of LD diagnosis and treatment in the context of chronic infection,” the authors wrote. The authors came to this conclusion after a series of focus groups with 14 clinicians from three primary […] Read More |
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Mitral valve dysfunction from Lyme carditis 10/12/2021 - The 22-year-old man was admitted to the hospital with cardiac problems. He suffered from morbid obesity and complained of chest pain and lightheadedness for several days. During his examination, he was sweaty with a fast pulse of 115. He also reported having an erythema migrans (EM) rash. Clinicians initially suspected the patient had non-segment elevation […] Read More |
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Tick bite leads to multiple co-infections 10/06/2021 - “Two days after noting this ankle lesion, the patient noticed an erythematous rash on his neck and chest,” the authors explain. He was prescribed an antihistamine and 7-day course of trimethoprim–sulfamethoxazole. The rash resolved after 5 days of antibiotic treatment, but the man continued to have pain and swelling in his ankle. The pain spread […] Read More |
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Bell’s palsy due to Lyme disease misdiagnosed, patient bedridden 09/29/2021 - Until recently, India has been considered a non-endemic region for Lyme disease, the authors point out. And, “Although it had been considered extremely rare in India, a recent study conducted in Nagarahole and Bandipur in South India surprisingly revealed a high seroprevalence (19.9%) of Borrelia burgdorferi infection in a population at risk (forest workers and […] Read More |
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Can Lyme disease cause bone loss? 09/22/2021 - In a 2003 case report, “Bone marrow manifestation of Lyme disease (Lyme Borreliosis),” Kvasnicka et al.² describe a 35-year-old man, who presented with fever, night sweats, inguinal lymph node enlargement and splenomegaly. He also exhibited neurologic symptoms including hyperkinesis and ataxia. Based on results from a lumbar puncture, doctors initially suspected the patient had infectious […] Read More |
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Does Lyme carditis differ in children vs. adults? 09/22/2021 - The authors analyzed charts of pediatric and adult patients with heart block and a positive Western Blot test for Lyme disease, who were hospitalized at Maine Medical Center. The study included 10 children and 20 adults who were admitted for Lyme carditis between January 2010 and December 2018.¹ The children’s mean age was 12.4 years. […] Read More |
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Lyme disease and COVID-19 Survey for children 09/01/2021 - I discuss Lyme disease and COVID-19 in children. I would appreciate your help in having you child share their experience with Lyme disease during this pandemic even if they have not had COVID-19 or taken the COVID-19 vaccine. Here is the link to the Lyme disease and COVID-19 vaccine https://danielcameronmd.com/lyme-disease-covid-survey/ You can hear more […] Read More |
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Clinical presentation of Lyme disease in patients living in Germany 08/27/2021 - The authors collected data via an online questionnaire from 252 Lyme disease patients and a control group of 267 healthy individuals living in Germany to examine the clinical presentation, including neuropsychiatric and psychological symptoms. The findings revealed that “Lyme disease can cause diverse psychological and neuropsychiatric symptoms. These include limitations in quality of life, sleep, […] Read More |
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Autopsy finds Lyme disease spirochetes in patient with Lewy body dementia 08/19/2021 - In a recent study entitled “Detecting Borrelia Spirochetes: A Case Study With Validation Among Autopsy Specimens,” researchers describe a woman with Lyme disease who was later diagnosed with Lewy body dementia.² Lyme disease diagnosed at age 54 At age 54, the woman was diagnosed with Lyme disease based upon a well-documented erythema migrans rash, along […] Read More |
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POTS symptoms in COVID-19 patients 08/19/2021 - POTS symptoms have been identified in a group of patients following COVID-19. POTS typically occurs “after viral or bacterial infections, such as Epstein-Barr virus, influenza, and Borrelia burgdorferi infection, [the causative agent of Lyme disease],” explains Blitshteyn and Whitelaw. Or, they add, it can be triggered by surgery, pregnancy, or a concussion. The patients evaluated at […] Read More |
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What is Borrelia miyamotoi? 08/04/2021 - Borrelia miyamotoi (B. miyamotoi) was first reported in the United States in 2013 but has become increasingly more common. The tick-borne illness can be transmitted by the same tick that carries Borrelia burgdorferi, the Lyme disease pathogen. In their article, Della-Giustina and colleagues² address the question, “What is Borrelia miyamotoi?” and concerns surrounding this growing […] Read More |
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The case of an untreated Babesia infection 08/04/2021 - In his article, Wormser discusses the case of a 61-year-old woman who went untreated for a Babesia infection, despite positive test results. The patient, who lives in Westchester, NY, a highly endemic area for Lyme disease, reportedly removed an unidentified tick from her left wrist at the end of March 2020, wrote Wormser. In June, […] Read More |
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Small fiber neuropathy in Lyme disease and COVID-19 07/27/2021 - Small fiber neuropathy with autonomic and sensory dysfunction has been described in Lyme disease patients. In fact, a small study suggests that SFN may be a viable biomarker of post-treatment Lyme disease syndrome, particularly for patients whose main symptoms involve sensory issues.² In their article, “Resolution of Pain in the Absence of Nerve Regeneration in […] Read More |
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First report: Babesia odocoilei causes babesiosis in humans 07/27/2021 - Babesia odocoilei has been identified in two individuals based on PCR testing and DNA sequencing of the 18S rRNA gene, writes Scott and colleagues in the study “Detection of Babesia odocoilei in Humans with Babesiosis Symptoms.” ¹ According to the authors, “the same two human subjects had the hallmark symptoms of human Babesiosis, including night […] Read More |
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Lyme disease associated with eye problems 07/22/2021 - In their article, “Contrast Sensitivity Loss in Patients With Posttreatment Lyme Disease,” Rebman and colleagues report that Lyme disease can cause eye problems, specifically a loss in contrast sensitivity.¹ Contrast sensitivity (CS) is most important when the contrast between objects and their background often is reduced such as low light, fog or glare. For example, […] Read More |
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Lyme disease: a persistent infection 07/22/2021 - There are multiple studies indicating that Lyme disease can result in a persistent infection, causing chronic symptoms that may require treatment with extended courses of antibiotics. The National Institute of Health (NIH) conducted three Lyme disease trials, which validated the existence and severity of chronic manifestations of Lyme disease.2-4 The study’s patients were ill for […] Read More |
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Lyme disease and COVID-19 — Understanding the risks 07/20/2021 - Listed below are several questions from the Lyme disease and COVID-19 survey. Your answers can assist us with understanding the potential side effects from COVID-19 and/or the vaccine in people with Lyme disease. Please note, anyone with Lyme disease can take this survey ─ even those who have not had COVID or received the vaccine. […] Read More |
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Babesia symptoms can be deadly: a family’s story 07/13/2021 - Babesia symptoms can be wide-ranging and difficult to recognize by clinicians and a missed or delayed diagnosis can be deadly. In hopes of raising awareness, one family shares their story of a Babesia diagnosis that came just a little too late. Jeff, a 51-year-old husband and father, was hospitalized with symptoms of jaundice, agitation and […] Read More |
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PTSD, COVID-19 and Lyme disease: a perspective 07/13/2021 - Patients with chronic Lyme disease have reported symptoms of PTSD. Now, an article entitled “PTSD as the second tsunami of the SARS-Cov-2 pandemic,” by Dutheil et al. indicates that some COVID-19 patients are experiencing post-traumatic stress disorder, as well.¹ The authors highlight several observations on the SARS-Cov-2 pandemic and PTSD that would also apply to […] Read More |
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Lyme carditis diagnosis during a COVID-19 quarantine 07/08/2021 - A 42-year-old man from New York City received a Lyme carditis diagnosis after quarantining in upstate New York during the COVID-19 pandemic. The case is discussed in the article “A curious case of Lyme carditis in an urban hospital,” by Brissett et al. 1 “Lyme carditis was a surprise diagnosis in our hospital due to the […] Read More |
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What is the Powassan virus? 07/08/2021 - In their article “Underrecognized Tickborne Illnesses: Borrelia Miyamotoi and Powassan Virus,” Della-Giustina et al. explain what is the Powassan virus and why it’s raising concerns. “We chose to review the Powassan virus because it only requires 15 min. of tick attachment for transmission, and the sequelae of the neurologic disease are devastating, in addition to […] Read More |
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Can Lyme disease trigger an autoimmune disease? 07/01/2021 - Adult-onset Still’s disease (AOSD) is often thought to be an autoimmune disease, but is, in fact, a systemic auto-inflammatory condition, believed to be caused by an over-reactive immune response to an infection, such as Lyme disease. As Cimmino points out, both diseases share several clinical characteristics.¹ Still’s disease can cause “a triad of high fever, […] Read More |
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Sarcoidosis triggered by Lyme disease 07/01/2021 - According to the American Lung Association, an “infection or exposure to something in the environment can trigger the immune system to overreact,” resulting in sarcoidosis.¹ In a 2018 study, van Dee and colleagues suggest that Borrelia burgdorferi, the Lyme disease bacterium, may be one of those infectious pathogens capable of triggering sarcoidosis. ² Their study […] Read More |
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Preventing tick bites on a child proves challenging 06/22/2021 - A study published in April 2021 looked at the frequency of emergency room visits due to tick bites. The authors examined “ED tick bite visits during January 2017-December 2019 by sex, age group, U.S. region, and seasonality,” writes Marx et al. [2] Their findings revealed that tick bites on a child under the age of […] Read More |
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Can Powassan virus cause encephalitis or other neurologic damage? 06/10/2021 - The Powassan virus (POWV) can be transmitted in as little as 15 minutes and is spread primarily through the bite of an infected deer tick. There is no treatment for the Powassan virus, yet it can cause devastating neurologic damage including encephalitis, meningitis or even death. “About 15% of patients who are infected and have […] Read More |
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How long does it take to get Lyme disease? 06/07/2021 - A study by Eisen and colleagues addressed a frequently asked question: “How long does it take to get Lyme disease?” According to their findings, the probability of an individual becoming infected with Borrelia burgdorferi (Bb), the pathogen which causes Lyme disease, increases the longer the tick is attached. [1] Researchers found the risk increases: Approximately […] Read More |
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Maine woman dies from deer tick virus 06/07/2021 - This case report describes an elderly woman from Maine, who was diagnosed post-mortem with a rare deer tick virus, known as the Powassan virus. The 72-year-old woman was admitted to the hospital with myalgias, chills, and an erythema migrans rash on her left scapula. She reportedly had 2 tick bites over the course of one […] Read More |
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Can a tick be tested for Lyme disease? 06/02/2021 - Ticks can be tested for the Lyme disease bacteria and other tick-borne pathogens. But the accuracy of test results may depend on whether the tick is engorged. A study by Gasmi et al. found that results may not be accurate when testing ticks which are engorged. [1] The authors examined 4,596 I. scapularis (blacklegged) ticks […] Read More |
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Stomach pain can be a symptom of Lyme disease 05/28/2021 - The 71-year-old woman underwent an exhaustive evaluation to determine the cause of her abdominal pain. Tests included: CT scan of the chest and abdomen; whole body emission tomography-CT scan (PET-CT); colonoscopy; gastroscopy, and an MRI of the small intestines. Initially, doctors did not consider testing for Lyme disease as a cause of the patient’s stomach […] Read More |
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What repels ticks naturally? 05/24/2021 - As the number of tick-borne diseases grows and the geographical spread of ticks continues, there is an increasing interest in what repels ticks naturally and which products are effective and safe to use. Little is known about exactly how ticks detect odors and what smells repel them. “Improving our understanding of tick olfactory mechanisms and […] Read More |
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Lyme disease symptoms in toddler attributed to child abuse 05/24/2021 - Welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I will be discussing a case involving a toddler with Lyme disease whose symptoms were mistakenly attributed to child abuse. By Dr. Daniel Cameron The case was first described by Pan and colleagues in the journal Case Reports […] Read More |
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Lyme disease protein tricks immune system, ignites arthritis 05/17/2021 - Lyme disease patients often struggle with ongoing symptoms including arthritis. Findings from this latest study are a “testament to how unique this bacterium is — and how we need to keep working to understand more about what is going on behind the scenes in order to develop future diagnostics and treatments,” states Mari Davis, lead […] Read More |
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Babesia microti in a multiple sclerosis patient 05/11/2021 - Welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I will be discussing the case of a 54-year-old male with a 12-year history of multiple sclerosis who was diagnosed with Babesia microti. By Dr. Daniel Cameron Haberli and colleagues describe the case in the journal Multiple Sclerosis […] Read More |
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Patient with facial palsy from Lyme disease fails treatment 05/11/2021 - In this case report, Hareem and colleagues describe a 71-year-old man with facial palsy from Lyme disease who failed treatment. The authors offer an inside look at what led up to the failed treatment.¹ Steroids associated with treatment failure? The man was initially treated in August 2017 for an upper respiratory tract infection and prescribed […] Read More |
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Long covid Q&A sponsored by Project Lyme 05/10/2021 - Project Lyme hosts Lyme disease expert Dr. Daniel Cameron, M.D., MPH, and integrative health innovator Dr. Bill Rawls, Medical Director of Vital Plan. They discuss the challenges that face the Lyme community as we continue to face the pandemic, including the similarities between the long-haul patients and how to stay healthy in these uncertain times. […] Read More |
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What does a Lyme disease rash look like? 05/03/2021 - Welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I will be discussing a question I’m asked frequently: What does a Lyme disease rash look like? As a new study has found, the erythma migrans rash can appear differently based on several factors. By Dr. Daniel Cameron […] Read More |
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Lyme disease and sudden onset hearing loss 05/03/2021 - The study aimed to assess the prevalence of this type of sudden onset hearing loss, particularly among Lyme disease patients. The authors explain, “Sudden sensorineural hearing loss (SSNHL) is defined as sensorineural hearing loss of 30 dB or more over at least three adjacent audiometric frequencies occurring within a 72-h period of time.” This type […] Read More |
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Immune modulating drug affects Lyme disease test, delays diagnosis 04/29/2021 - Welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. I find that the best way to get to know Lyme disease is through reviewing actual cases. In this episode, I will be discussing the case of a young woman with multiple sclerosis (MS), who had a delay in diagnosis of Lyme disease […] Read More |
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What do Ebola, COVID-19, and Lyme disease have in common? 04/22/2021 - Welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I will be discussing a topic on the what Ebola, COVID-19 and Lyme disease have in common was recently featured in Vox Magazine by author Julia Belluz.1 The article, “Long COVID isn’t as unique as we thought” reviews some commonalities […] Read More |
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Lyme disease as a reversible cause of chronic illness for some patients 04/22/2021 - Might Lyme disease cause chronic illness? Studies indicated that Lyme disease can lead to chronic illness including Lyme encephalopathy, [5] Lyme neuropathy, [6] chronic neurologic Lyme disease, [6] and Neuropsychiatric Lyme disease. [7] Could Lyme disease be a reversible cause of a chronic illness in some patients? Having a high index of suspicion will prevent […] Read More |
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Visual changes due to Lyme disease 04/15/2021 - In their article, Rebman and colleagues write, “we found a relationship between contrast sensitivity (CS) impairment in participants with [post-treatment Lyme disease] compared to controls that is associated with neurologic abnormalities and specific cognitive test impairments.” Contrast sensitivity is a measure of a person’s ability to distinguish the foreground from background that is not detected […] Read More |
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Choosing a doctor experienced to treat Lyme disease cannot be overemphasized 04/15/2021 - Several factors can impact the likelihood that treatment will be successful for a patient seeking a doctor to treat their Lyme disease. According to a recent study, high treatment response was most closely associated with: doctor treat lyme disease the use of antibiotics or a combination of antibiotics and alternative treatments; longer duration of treatment, […] Read More |
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Two children ill with both Lyme disease and Mono 04/11/2021 - Welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. I find that the best way to get to know Lyme disease is through reviewing actual cases. In this episode, I will be reviewing two cases involving children who had both Lyme disease and mono. By Dr. Daniel Cameron Koester and colleagues […] Read More |
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Could monoclonal antibodies prevent Lyme disease better than a vaccine? 04/08/2021 - UPDATED: April 8, 2021 Could monoclonal antibodies prevent lyme disease? The first human clinical trial of Lyme PrEP, a seasonal shot to prevent Lyme disease, has begun enrolling volunteers to evaluate the safety and pharmacology of the treatment. [1] “Lyme PrEP prevents infection by delivering a single, human anti-Lyme antibody, or blood protein, directly to […] Read More |
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Who is more likely to fail Lyme disease treatment? 04/01/2021 - Investigators reviewed questionnaires from 778 Lyme disease patients treated at the Geisinger Clinic, a health system in Pennsylvania. The authors determined the length of time a patient was ill before seeking medical attention, and the length of time between seeking care for Lyme disease and receiving lyme treatment. They found that the amount of time […] Read More |
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Lyme disease causes “false brain tumor” in young child 04/01/2021 - Welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. I find that the best way to get to know Lyme disease is through reviewing actual cases. In this episode, I’ll be discussing a case involving a 9-year-old boy with with a pseudotumor cerebri involving the brain due to Lyme disease. By […] Read More |
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Lyme disease patient with permanent tinnitus and hearing loss 03/26/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. I find that the best way to get to know Lyme disease is through reviewing actual cases. In this episode, I’ll be discussing a case involving a 46-year-old man with Lyme disease who developed permanent tinnitus and hearing loss. By […] Read More |
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What are the benefits of Lyme disease telemedicine? 03/26/2021 - PERSPECTIVE A growing number of specialties have described a shift to utilizing telemedicine in their practices. “The global pandemic of COVID-19 has dramatically altered the delivery of rheumatology outpatient services because of the redeployment of staff and efforts to minimize infection risk to patients and clinicians in line with physical distancing guidance,” writes Yeoh and colleagues. “Departments […] Read More |
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Secondary normal pressure hydrocephalus due to Lyme disease 03/18/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I’ll be discussing a case involving a patient who slowly began having difficulties with his balance and was later diagnosed with Lyme disease. I will discuss lyme disease and normal pressure hydrocephalus. By Dr. Daniel Cameron I […] Read More |
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Causes of treatment delays for 15 Lyme disease patients 03/18/2021 - I have identified several factors that might have contributed to treatment delays in 15 Lyme disease patients. All 15 subjects failed their initial antibiotic treatment. In many cases, their illness could have been mitigated had diagnosis and treatment occurred in the early stages of the disease. These 15 patients were part of a case series […] Read More |
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Involuntary body movements due to Lyme disease dismissed as psychosomatic 03/09/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I’ll be discussing a case involving a man in his 70’s who had an abrupt onset of involuntary body movements, including jerks in his left arm. The man was initially dismissed as having a functional disorder, when […] Read More |
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Focus on COVID-19 leads to delayed diagnosis of Lyme disease 03/09/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I’ll be discussing a unique case involving a 67-year-old man whose diagnosis of Lyme disease was delayed because clinicians suspected his symptoms were due to COVID-19. By Dr. Daniel Cameron The case report, by Novak and colleagues, […] Read More |
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COVID-19 long haulers and Lyme disease patients share similar experiences 03/02/2021 - COVID-19 long haulers share similar experiences and frustrations with chronic Lyme disease patients in a commissioned report. “Anecdotally, there’s no question that there are a considerable number of individuals who have a post-viral syndrome that really, in many respects, can incapacitate them for weeks and weeks following so-called recovery and clearing of the virus,” writes […] Read More |
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Could cytokine storms lead to brain fog in Lyme disease patients? 03/02/2021 - In their article, published in the journal Cancer Cell,¹ the authors explain, “One of the dozens of unusual symptoms that have emerged in COVID-19 patients is a condition that’s informally called ‘COVID brain’ or ‘brain fog.’ It’s characterized by confusion, headaches, and loss of short-term memory. In severe cases, it can lead to psychosis and even […] Read More |
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Growing list of eye problems in Lyme disease 02/25/2021 - The authors described eye problems in lyme disease presenting with the following ophthalmologic findings: Follicular conjunctivitis Periorbital edema and mild photophobia Bell’s palsy, cranial nerve palsies and Horner syndrome Argyll Robertson pupil Keratitis Optic neuritis, papilledema, papillitis and neuroretinitis Myositis of extraocular muscles and dacryoadenitis Episcleritis, anterior and posterior scleritis Anterior, intermediate, posterior and panuveitis […] Read More |
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Kidney failure and disseminated rashes associated with Lyme disease 02/24/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, 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, also referred to as kidney failure. By Dr. Daniel Cameron Mishra […] Read More |
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43-year-old man with meningitis and radiculitis due to Lyme disease 02/19/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I will be discussing a unique case involving a 43-year-old man with neurological manifestations of Lyme disease including both meningitis and radiculitis. By Dr. Daniel Cameron The case was published in the journal Neurology International. [1] According […] Read More |
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Case series shows wide range of Babesia symptoms and presentations 02/19/2021 - This case series describes a broad range of Babesia symptoms in elderly patients, making the diagnosis particularly challenging. Case 1: A 78-year-old white female was admitted with fever, chills, lethargy, fatigue, and marked changes in sensorium. “She had a maximum temperature of 100.6° F (38.1° C); sepsis was considered for this patient,” writes Paparone, a […] Read More |
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PANDAS and Lyme disease in a 7-year-old child 02/12/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this podcast, I will be discussing the case of a 7-year-old child who was initially diagnosed with PANDAS and later, Lyme disease. By Dr. Daniel Cameron The article by Cross et al. entitled “Case Report: PANDAS and Persistent Lyme […] Read More |
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Doxycycline for children with Lyme disease. Pros and cons. 02/12/2021 - Tetracyclines, including doxycycline, are typically not recommended for treating young children with lyme disease because the antibiotic may cause permanent staining of the teeth, explains Wormser and colleagues in a recently published article, “Is Doxycycline Appropriate for Routine Treatment of Young Children With Erythema Migrans?” ¹ In the article, Wormser discusses the risk to benefit […] Read More |
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Can you get Lyme disease more than once? Ask the Lyme doc. 02/09/2021 - In 2014, a small study found that some people may, in fact, develop strain-specific immunity to Borrelia burgdorferi, the bacteria causing Lyme disease. “Once infected with a particular strain of the disease-causing bacteria, humans appear to develop immunity against that strain that can last six to nine years,” the authors wrote. [1] Ask the Lyme […] Read More |
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Delayed onset Babesia. Case report. 02/08/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this podcast, I will be discussing an unusual case of delayed onset Babesia. By Dr. Daniel Cameron The case, involving a 19-year-old Hispanic man, was published in the Italian Journal of Pediatrics.1 Ten weeks after travelling to New York, […] Read More |
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What does a Lyme flare-up feel like? Ask the Lyme Doc. 02/03/2021 - When a Lyme disease flare occurs, patients will notice a return of the symptoms they have experienced before or a worsening of existing symptoms. Some patients may also develop new symptoms. A flare-up can come and go and vary in intensity. What does a Lyme flare-up feel like? The symptoms of a flare-up can include: […] Read More |
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Can Lyme disease stay with you forever? 02/03/2021 - Can Lyme disease stay with you forever? Although many patients will improve with appropriate treatment, others will experience ongoing Lyme disease symptoms that may stay with them forever. A growing number of case studies continue to document patients with chronic illnesses associated with Lyme disease. Following are several examples: Chronic neurologic Lyme disease In the […] Read More |
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Lyme disease manifests as abdominal pain in a young child 01/29/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this podcast, I will be discussing the case of a 9-year-old boy who presented with abdominal pain as his first symptom of Lyme disease and the subsequent onset of attention deficit and ataxia (or difficulty in walking). By Dr. […] Read More |
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Herxheimer reaction in a 13-year-old boy with Lyme disease 01/24/2021 - In a recently published paper, Nykytyuk and colleagues describe the case of a 13-year-old boy with Lyme arthritis, a common manifestation of Lyme disease, who developed a Herxheimer reaction when treated with doxycycline. [1] “A 13-year-old boy was admitted to the regional hospital with complaints of left knee swelling, hip, ankle and cervical spine pain,” […] Read More |
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ALS mimicked lyme disease. A case report. 01/24/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I will be discussing the case involving a 63-year-old man whose ALS mimicked lyme disease. By Dr. Daniel Cameron I first read about this case by Wirsching and colleagues in the journal Clinical Case Reports. [1] Amyotrophic […] Read More |
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9 ways COVID-19 and Lyme disease can look alike 01/19/2021 - In the article, “Neurologic Findings Among Inpatients with COVID-19 at a Safety-Net U.S. Hospital,” Anand and colleagues described the symptoms and clinical presentations of 74 individuals with confirmed COVID-19. [1] The patients were seen for neurology consults while hospitalized or within a month of hospitalization. Covid-19 and lyme disease share many of the symptoms and […] Read More |
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Lyme disease mimics cellulitis skin infection 01/19/2021 - The 40-year-old woman, who developed redness, swelling, pain, and a rash at the excision site, was treated with cephalexin and later switched to trimethoprim/sulfamethoxazole (TMP/SMX). This case describes a case where Lyme disease mimics cellulitis. “Over the next 24 hours, there was a rapid expansion of abdominal redness and patchy areas of redness on her […] Read More |
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Should Lyme disease patients with an impaired immune system get the COVID-19 vaccine? 01/15/2021 - People can have an impaired immune system from an overactive and underactive immune response. “A strong immune system responds appropriately to the challenge; a weak immune system may over-respond or under-respond,” explains Kostoff and colleagues in the journal International Journal of Molecular Medicine. [2] Should Lyme patients get the COVID-19 vaccine? They added, “A weakened […] Read More |
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Are you reluctant to take the COVID-19 vaccine? 01/14/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I will be addressing concerns from Lyme disease patients regarding the COVID-19 vaccine. By Dr. Daniel Cameron I have Lyme disease patients in my practice who are concerned about contracting COVID-19 and some who are reluctant to […] Read More |
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Can you have Lyme disease and not know it? 01/08/2021 - There are several published papers that address the question: Can you have Lyme disease and not know it? Logigian and colleagues described chronic neurologic Lyme disease patients who were ill for up to 14 years prior to being diagnosed. Their symptoms included fatigue, poor memory, a sleep disturbance, headaches, lightheadedness, and joint pain.1 Fallon and […] Read More |
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Breast cancer patient develops Lyme disease 01/08/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I will be discussing the case of a 61-year-old woman who had Lyme disease, along with breast cancer. By Dr. Daniel Cameron The case was published in the journal Diagnostics (Basel) by Ørbæk and colleagues. A 61-year-old […] Read More |
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Severe neuropathic pain due to Lyme disease. Inside Lyme Podcast 01/03/2021 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this episode, I will be discussing the case of a 36-year-old man with severe neuropathic pain due to Lyme disease. By Dr. Daniel Cameron I first read about this case in the journal Neuromodulation by Karri and colleagues. A […] Read More |
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Geriatric Babesia cases are rising and may require longer treatment 01/03/2021 - Overall, the number of individuals contracting Babesia is rising. The annual number of cases per year climbed from 4 per 100,000 to 9 per 100,000 in the U.S. between 2006 and 2017. The annual number of cases of Babesia per year for individuals over the age of 85 was 4 out of 100,000. In comparison, […] Read More |
Blog & Podcast Posts – 2020
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Powassan virus in children. Case reports 12/28/2020 - Powassan virus in children is not often reported. In this article, the authors describe powassan virus in children involving two infants with tick bites who developed Powassan virus encephalitis. As the authors point out, their case report not only demonstrates that rapid transmission of POWV can occur, but it highlights the importance for parents/caregivers to […] Read More |
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4 distinct post-treatment Lyme disease syndromes? 12/27/2020 - Individuals who suffer from persistent symptoms may be diagnosed with a post-treatment lyme disease syndrome or ‘chronic Lyme disease.’ Studies estimate that between 34% and 62% of patients continue to have ongoing, chronic symptoms even after standard antibiotic therapy. Many remain ill for months to years. In fact, according to one study, 34% of a […] Read More |
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Three deaths associated with Lyme carditis 12/27/2020 - Hello, and welcome to another Inside Lyme Podcast. I am your host Dr. Daniel Cameron. In this podcast, I will be discussing three deaths associated with Lyme carditis. By Dr. Daniel Cameron Three deaths associated with Lyme carditis I first read about these cases in the Morbidity and Mortality Weekly Report (MMWR) published by the […] Read More |
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Could Borrelia miyamotoi infections explain persistent symptoms in Lyme disease patients? 12/20/2020 - Borrelia miyamotoi (BM) is another tick-borne pathogen and “unlike Lyme disease, erythema migrans rash, and arthralgias are uncommon,” the authors write in the journal Frontiers in Medicine. The infection is diagnosed with polymerase chain reaction (PCR) called glycerophosphodiester phosphodiesterase (GlpQ) enzyme immunoassay. Investigators looked at the incidence of BM in 82 patients who were seeking a […] Read More |
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16-year-old male with Lyme disease presenting with palpitations and chest pain 12/09/2020 - Welcome to another edition of Inside Lyme Podcast with Dr. Daniel Cameron. I will be discussing a case featuring a 16-year-old boy who exhibited cardiac symptoms, including palpitations and chest pain, due to Lyme disease. The boy was later diagnosed with Lyme carditis. By Dr. Daniel Cameron A 16-year-old male with Lyme disease presenting with […] Read More |
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What are treatments for Lyme disease? 11/11/2020 - The Infectious Disease Society of America (IDSA) and the International Lyme and Associated Diseases Society (ILADS) have each published their own set of evidence-based treatment guidelines. IDSA guidelines recommend a short course of antibiotics, typically 14 to 30 days. IDSA argues that the Borrelia burgdorferi bacteria does not persist in a patient beyond this timeframe […] Read More |
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Infections can impact tick behavior and increase survival 10/21/2020 - In the article, “Pathogens Manipulating Tick Behavior—Through a Glass, Darkly,” Benelli reviews the literature on tick behavior triggered by infections with Anaplasma, Borrelia, Babesia, Bartonella, Rickettsia, and tick-borne encephalitis virus (TBEV).¹ You might think a deer tick would be worse off if infected. But, not so. It appears that deer ticks are actually more likely […] Read More |
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What does a Lyme disease rash look like? 10/21/2020 - If patients are expecting a Lyme disease rash to look like the typical Bull’s-eye lesion they may miss receiving an accurate diagnosis. “The assumption that all EM [rashes] look like the classic target lesion” can lead to diagnostic errors, warns Burlina and colleagues in their article “AI-based detection of erythema migrans and disambiguation against other […] Read More |
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What are Lyme disease co-infections? 10/13/2020 - Today, ticks harbor multiple infectious pathogens that can be transmitted to humans through a tick bite or tainted blood transfusion. The Centers for Disease Control and Prevention (CDC) now reports that “a single tick can transmit multiple pathogens, including bacteria, viruses, and parasites.” [1] This can result in patients developing what is referred to as […] Read More |
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Signs and symptoms of Lyme disease 10/07/2020 - While many people associate Lyme disease with manifestations such as Bell’s palsy, the circular Bull’s-eye rash, and flu-like symptoms, Lyme disease can also cause sensory, cognitive, neurologic, and cardiac complications, even in its earliest stage. But, the signs and symptoms of Lyme disease are all too frequently attributed to another medical condition. Objective signs of […] Read More |
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What is Lyme disease? 09/29/2020 - Lyme disease is an infection caused by the bacteria Borrelia burgdorferi (Bb), a spiral-shaped organism. The bacterium can be transmitted to a person through the bite of an infected Ixodes scapularis tick (a.k.a., the deer tick or black-legged tick). Borrelia burgdorferi bacteria is a type of spirochete that can penetrate virtually any organ or system […] Read More |
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Lyme disease vaccine for humans: Would you trust it? 09/18/2020 - LYMErix was reportedly effective at preventing a Lyme disease rash. But the Lyme disease vaccine for humans was only 50% effective at preventing other manifestations of Lyme disease, according to the LYMErix package insert. LYMErix was voluntarily removed from the market due to low demand. In a survey of 1,015 adults in the U.S., author […] Read More |
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When do ticks quest, waiting for their next meal? 09/18/2020 - So far, research has focused on questing behavior primarily in the laboratory. “Ticks must balance the need to quest for blood meal hosts with the risk of desiccation, all on a fixed energy budget,” writes Thomas from Washington State University. ¹ But Thomas and his team wanted to investigate questing patterns in a natural habitat. […] Read More |
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Lyme disease sleep disorders 09/13/2020 - Dr. Robert Bransfield, a New Jersey-based psychiatrist who specializes in the diagnosis and treatment of tick-borne illnesses, has seen a broad range of sleep disorders in Lyme disease patients treated at his practice. He describes the various sleep disorders in the article “Neuropsychiatric Lyme Borreliosis: An Overview with a Focus on a Specialty Psychiatrist’s Clinical […] Read More |
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Could Lyme disease in children lead to parental flooding? 09/13/2020 - Could Lyme disease in children lead to parental flooding described in a recent paper? Parents experiencing flooding “are overwhelmed by the intensity and aversive nature of child negative affect,” writes Del Vecchio and colleagues in the Journal of Abnormal Child Psychology.1 When this occurs, parents “may be less likely to react effectively and instead may […] Read More |
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Can Lyme disease impact pregnancy outcome? 09/10/2020 - The study by researchers in Slovenia looked at the potential effects of Lyme disease on pregnancy outcome. In their article, “Course and Outcome of Erythema Migrans in Pregnant Women,” Maraspin and colleagues describe pregnancy course and outcome for 304 women who were treated with antibiotics for early Lyme disease. All of the women had been […] Read More |
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Ticks live and thrive in the Alps 09/05/2020 - Over a 4-year period, investigators examined ticks that Live in the Alps and their transmitted pathogens, along with the altitudinal limit of Ixodes ricinus ticks (which are similar to Ixodes scapularis ticks in the USA) in the Piedmont region of the Alps.ticks live A total of 6492 I. ricinus ticks were collected from the vegetation. […] Read More |
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Are doctors reluctant to diagnose Lyme disease? 09/05/2020 - Investigators asked clinicians to review 11 cases of Lyme disease to determine if doctors are reluctant to diagnose Lyme disease. They found that only 5 cases contained Lyme disease on their differential diagnosis list, and only 2 cases were coded as Lyme disease, writes Tulloch. The Lyme disease case presentations varied: Classic erythema migrans (EM) […] Read More |
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Lyme disease misdiagnosed as shingles in a 62-year-old man 08/30/2020 - According to Hansen and colleagues, Lyme disease was misdiagnosed as shingles but later correctly diagnosed with Lyme disease. The patient was admitted to the emergency department complaining of epigastric pain that had been ongoing for 4 to 5 weeks. “He described a constant pain with episodic worsening,” writes Hansen. The pain began with a rash […] Read More |
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Six cases of neurological Lyme disease 08/30/2020 - Bannwarth syndrome is characterized by painful radiculopathy, neuropathy, varying degrees of motor weakness and facial nerve palsy, and cerebrospinal fluid (CSF) lymphocytic pleocytosis. Five patients presented with peripheral nervous system involvement (primarily axonal in nature), which is consistent with BWS, writes Shah and colleagues. Three of the cases of neurological lyme disease are discussed below. 61-year-old […] Read More |
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Can Lyme disease cause dementia? 08/23/2020 - In a retrospective study, entitled “Secondary dementia due to Lyme neuroborreliosis,” Kristoferitsch and colleagues describe several case reports of patients diagnosed with dementia-like syndromes due to Lyme neuroborreliosis or Lyme disease that help address the question – can lyme disease cause dementia.2 Rapid improvement with antibiotic treatment The authors’ case report featuring a 76-year-old woman […] Read More |
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Successful treatment for Lyme arthritis after knee surgery 08/23/2020 - Doctors described a 67-year-old avid outdoorsman who received treatment for Lyme arthritis after having had knee surgery. Ten months earlier, the man had received a partial knee replacement for his left knee due to advanced single compartment degenerative arthritis. Over a 3-month-period, the man developed progressive left knee pain and swelling. He later presented with a […] Read More |
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Can Lyme disease cause jaundice? 08/17/2020 - Two recently published case reports address the question: Can Lyme disease cause jaundice? While it is uncommon, the authors conclude, hyperbilirubinemia can be a sign of Lyme disease, and should be considered as a differential diagnosis in patients with severe jaundice and exposure to areas endemic for Lyme disease. 1,2 39-year-old man with fever and […] Read More |
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Atypical symptoms of Lyme disease: numbness, paresthesia and abdominal wall weakness 08/17/2020 - “A 58-year-old woman was seen in the outpatient neurology clinic of this hospital in early autumn because of hypoesthesia [numbness], paresthesia, and weakness,” writes Reda and colleagues in a paper describing atypical symptoms of Lyme disease. Her initial symptoms began 10 weeks prior with back pain occurring between her shoulders. But the pain resolved without […] Read More |
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Subacute transverse myelitis caused by Borrelia infection 08/09/2020 - Subacute transverse myelitis is a neurologic syndrome caused by inflammation of the spinal cord. It can be caused by various infections, including Borrelia burgdorferi, the bacteria causing Lyme disease. Immune system disorders, vascular and other inflammatory disorders can also trigger the condition which damages or destroys myelin, an insulating substance that surrounds nerves, including those in […] Read More |
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Lyme disease infection triggers heart block in young man 08/09/2020 - If left untreated, Lyme disease can progress causing heart block and other cardiac problems, such as cardiomyopathy and myocarditis “due to spirochete infiltration of cardiac and pericardial structures,” according to the authors of a newly published case report.¹ “Clinical suspicion of early disseminated Lyme carditis is essential in patients presenting with new-onset high-degree AV [heart] […] Read More |
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Lyme disease and depression case 08/05/2020 - One study found a high prevalence of depression in Lyme disease patients. Between January 2008 and December 2014, 1 in 5 patients treated at the Lyme Center Apeldoorn in the Netherlands was diagnosed with depression and Lyme disease. ¹ Meanwhile, Dr. Robert Bransfield, a psychiatrist specializing in the diagnosis and treatment of tick-borne illnesses, reports “In my […] Read More |
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Atypical findings in Lyme disease makes diagnosing difficult 07/30/2020 - Lyme disease can present with a broad range of symptoms. Many of them are familiar to clinicians. But in some cases, a patient may exhibit atypical symptoms, including rashes other than the well-known “bull’s eye” rash. These unique presentations of Lyme disease can make diagnosing the illness particularly difficult. For instance, Sharma reports, “Our case […] Read More |
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POTS patients with brain fog have neurocognitive deficits 07/30/2020 - A recent study by Wells and colleagues ¹ confirms findings from previous studies which demonstrated that POTS patients with brain fog have impaired short-term memory and diminished alertness. POTS is characterized by a substantial increase in heart rate and sometimes a drop in blood pressure when the individual stands up. This can cause lightheadedness, heart […] Read More |
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Lyme arthritis following an operation – 5 cases 07/27/2020 - Hess and colleagues discuss 5 cases, reported in the literature, in which Lyme arthritis following an operation. [1] Case 1 The first case they cite involved a 38-year-old woman who had undergone knee surgery. She had a “bone-patellar tendon-bone reconstruction of her anterior cruciate ligament along with a staged autologous chondrocyte transplantation to repair a […] Read More |
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POTS : An autonomic disorder in Lyme disease patients 07/20/2020 - In the journal Cureus , Tahir and colleagues describe the symptoms and treatment of POTS,¹ a condition often seen in Lyme disease, which causes the heart rate to rise by at least 30 beats per minute for adults and at least 40 points for children “when the person stands up from a recumbent position.” The […] Read More |
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Tick bites during pregnancy. A perspective. 07/20/2020 - The authors cite studies with “high-level evidence” recommending prophylaxis treatment of tick bites during pregnancy with a single dose of 200 mg of doxycycline. The risk, they say, to the unborn baby is low. “Previously, doxycycline was avoided in pregnancy and in children under 8 years of age because of concerns about adverse effects similar […] Read More |
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Babesia in dogs – implications for people 07/14/2020 - Investigators looked at several tick-transmitted diseases including Babesia, in dogs, to help determine potential risks to humans. Hunting dogs, specifically, were tracked as they are exposed to ticks more often than pet dogs. And they are more likely to be outdoors for long periods in tick habitats and less likely to be groomed for ticks […] Read More |
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Cavalier attitude towards Lyme infection 07/14/2020 - “One day, when traveling in California for a meeting, I received a call informing me that one of my sons, then aged 39, had been walking his dog when he collapsed into unconsciousness with a heart rate of 35/minute and had been taken to a local hospital,” writes Plotkin.¹ A Lyme infection was suspected. His […] Read More |
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Could POTS and Lyme disease patients suffer impaired cognitive function when standing? 07/08/2020 - Patients with autoimmune disorders are at risk for POTS, along with individuals who have had a viral illness or a serious infection, such as Lyme disease. In fact, POTS and Lyme disease patients often present with similar symptoms. For instance, POTS patients frequently report having “brain fog,” also a common complaint among Lyme disease patients. […] Read More |
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No evidence single doxycycline dosage for Lyme disease prevention is effective in children 07/08/2020 - The authors reference a small study to support their recommendation for using a single doxycycline dosage for Lyme disease prevention. The study, conducted by Drs. Fish, Nadelman and Wormser, however, involved adults, not children. ² And it was designed to demonstrate that a single dose of doxycycline could prevent an erythma migrans (EM) rash. It […] Read More |
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Disseminated Lyme disease more likely in those with weakened immune system 06/29/2020 - A small study examined the risk of developing disseminated Lyme disease for people with weakened immune systems. Researchers enrolled 7 patients with an EM (erythema migrans) rash who were diagnosed with Lyme disease. In these 7 patients, signs of disseminated LB (43%) and the isolation rates of borreliae from blood before antibiotic treatment (40%) were […] Read More |
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New treatments for Lyme disease on the horizon? 06/23/2020 - Study findings suggest that current Lyme disease treatment may not eliminate the Borrelia burgdorferi infection or the immune system may fail to clear the infection or bacterial debris, resulting in ongoing symptoms. In the past few years, several new treatments for Lyme disease have been investigated in the laboratory or made available to patients in […] Read More |
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Central sensitization syndrome worsens Lyme disease symptoms? 06/22/2020 - Central sensitization syndrome (CSS) involves changes in the central nervous system, particularly the brain and spinal cord. This syndrome “is thought to involve hyperactivation of central neurons, leading to various synaptic and neurotransmitter/neuromodulator changes,” writes Batheja. There are several potential causes of central sensitization, which include: • Genetic factors • Increase in neurotransmitters that facilitate […] Read More |
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Lyme disease increases risk of atrial fibrillation 06/17/2020 - Although researchers have gained a better understanding of atrial fibrillation, also called AFib or AF, many of the causes and risk factors are still unknown. Now, for the first time, a study examines the prevalence of atrial fibrillation in Lyme disease patients. “It is hypothesized that in some cases the AF [atrial fibrillation] might be […] Read More |
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Late stage Lyme disease treatment might include azlocillin in the future. 06/17/2020 - Researchers identified azlocillin after screening nearly 8,000 drug compounds. They found that in the test tube and in mice, azlocillin was effective against drug-tolerant Borrelia burgdorferi s.s., the pathogen causing Lyme disease. But will late stage Lyme disease treatment soon include azlocillin, an FDA-approved drug that is often used to treat infections such as Pseudomonas […] Read More |
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Raccoons infected with Babesia microti in Texas 06/11/2020 - Previous studies in Florida revealed two distinct groups of Babesia microti which were dependent on host species (i.e. cotton rats and raccoons). Investigators in the current study looked for the presence of Babesia species in small and medium-sized mammals in East Texas. A total of 480 wild mammals were trapped, sampled, and screened. Using molecular analysis, they identified […] Read More |
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Is Lyme disease like the Tortoise in Aesop’s “The Tortoise and the Hare”? 06/11/2020 - The Tortoise and the Hare fable tells the story of a race between a tortoise (a creature that moves very slowly) and a hare (a creature that can run very fast). The hare is very confident of winning, so it stops during the race and falls asleep. The tortoise continues to move very slowly but […] Read More |
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Babesia microti imported into foreign countries 06/06/2020 - “Recently, sporadic cases of human babesiosis caused by several species of Babesia have been reported in other countries,” write the authors of “Imported Human Babesiosis, Singapore, 2018.” [1] These imported Babesia microti cases include: Babesia microti (Germany, Australia, South Korea) Babesia microti-like (Japan, Taiwan, China) Babesia duncani (United States, Canada) Babesia divergens (Europe) Babesia venatorum […] Read More |
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Babesia infections and tick-borne agents transmitted through blood supply 06/06/2020 - In their article, the authors summarized discussions from a public workshop, organized by the Food and Drug Administration (FDA). The workshop, addressing babesia and tick-borne infections entitled “Emerging Tick-Borne Diseases and Blood Safety,” included experts on tick-borne diseases, representatives from blood centers, academia, government agencies, and manufacturers of diagnostic kits. The workshop’s goal was to […] Read More |
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Can service dogs help patients with Lyme disease and other chronic illnesses? 05/31/2020 - Click here to watch a 13 second video of a Lyme patient with a service dog Service dogs, the authors explain, can assist people with functional physical disabilities, such as the visually impaired or individuals who require diabetic or epileptic monitoring. “Mobility service dogs can assist those with physical disabilities by performing tasks such as […] Read More |
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Using dogs to map Lyme disease 05/31/2020 - Typically, there is a delay in diagnosing dogs with Lyme disease. Based on their review of the literature, the authors summarized several reasons for this: “The first signs of clinical disease in dogs are non-specific, including fever, general malaise, lameness, and swelling of local lymph nodes. These symptoms are likely to be overlooked by dog […] Read More |
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What nesting songbirds tell us about Lyme disease in Canada? 05/26/2020 - “We estimate that migratory birds disperse 50 million to 175 million I. scapularis [deer] ticks across Canada each spring, implicating migratory birds as possibly significant in I. scapularis range expansion in Canada,” wrote Ogen and colleagues¹ in their discussion of birds and Lyme disease. A study by Scott et al., however, finds that migratory songbirds, […] Read More |
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Can Bell’s palsy lead to nonflaccid facial palsy in Lyme disease? 05/26/2020 - Can Bell’s palsy lead to nonflaccid facial palsy in Lyme disease?. “Nonflaccid facial paralysis is a spectrum of hypokinetic and hyperkinetic movement,” wrote Markey and colleagues in the journal Otolaryngology.¹ Hypokinetic movement involves less movement, while hyperkinetic movement involves more movement. “Clinically, this manifests as contraction of the orbicularis oris muscle simultaneous with eye closure […] Read More |
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Chronic neurological Lyme disease or co-morbid conditions? 05/18/2020 - The study, “Patient-reported outcome after treatment for definite Lyme neuroborreliosis” by Eikeland and colleagues, describes 258 patients treated for definite Neurologic Lyme disease. Many of them with chronic neurological lyme disease remained symptomatic an average of 5 years after their initial treatment. According to the authors, a higher proportion of their chronic neurological Lyme disease […] Read More |
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Lyme carditis symptoms may go undiagnosed in Mexico 05/15/2020 - The authors highlight the case of a 23-year-old woman who presented to their hospital “with a chief complaint of dyspnea and chest pain and was found to have a third degree AV-block on the electrocardiogram (ECG)” in their discussion of Lyme carditis symptoms. A temporary pacemaker was implanted. And after an exhaustive work-up for other […] Read More |
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Can’t trust single-dose doxycycline to prevent Lyme disease. Perspective: 05/14/2020 - I can’t trust single-dose doxycycline to prevent Lyme disease. A perspective: A single 200 mg dose of doxycycline administered orally was reported to have been successfully used to prevent the development of erythema migrans at the bite site of Ixodes scapularis ticks,” writes Wormser in an article entitled “Doxycycline for Prevention of Spirochetal Infections-Status Report.” […] Read More |
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How do ticks move when seeking a meal? 05/07/2020 - Understanding how ticks move is important in developing ways to minimize our risk of tick bites and infection. As the authors point out, “less is known about the distances adult ticks are willing and able to travel in the short term and when a host is in close proximity.” The study looked at how adult […] Read More |
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Man with Lyme disease and stroke. An Inside Lyme podcast. 05/03/2020 - Welcome to an Inside Lyme case study. I find that the best way to get to know Lyme disease is through reviewing actual cases. I will be discussing an 83-year-old-man with Lyme disease and stroke in this Inside Lyme podcast. By Dr. Daniel Cameron Legast and her colleague first discussed this case in the journal Neurological […] Read More |
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A confused woman with Anaplasmosis and Babesia infection 04/30/2020 - Welcome to an Inside Lyme case study. I find that the best way to get to know Lyme disease is through reviewing actual cases. I will be discussing a 78-year-old confused woman with an Anaplasmosis and Babesia infection. By Dr. Daniel Cameron A 78-year-old woman was evaluated in an emergency room with fever, chills, lethargy, […] Read More |
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Treatment varies for Bell’s palsy in children with Lyme disease 04/30/2020 - The retrospective review included 93 children with idiopathic Bell’s palsy to the University Hospital Southampton NHS Foundation Trust from 2010 to 2017. Idiopathic facial nerve palsy, formerly called Bell’s palsy, is seen in early Lyme disease. Very few children in the study with Bell’s palsy reported a tick bite or rash. In fact, only 14% […] Read More |
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Drive-thru pharmacy for Lyme disease treatment with doxycycline? 04/26/2020 - The clinic’s program to over Lyme disease treatment and its effectiveness are described in a recent article by Portman, “Implementing a pharmacist-run Lyme disease postexposure prophylaxis clinic augmented by academic detailing within the Veterans Health Administration.”¹ In April 2018, VA Butler Healthcare in Pennsylvania opened a pharmacist-run Lyme disease PEP clinic, known as PharmLD clinic. […] Read More |
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Lyme disease can lead to long-term sequelae 04/22/2020 - The Canadian authors point out that in their country alone the number of Lyme disease cases has increased 14-fold over an 8 year period (2009-2017). They reviewed studies published between 1994 and 2019 to assess the extent of long-term sequelae due to Lyme disease. Based on eligibility criteria, 21 studies were included in the analysis, […] Read More |
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Lyme disease case definition misused. Perspective. 04/19/2020 - “Many physicians will mistakenly defer to the CDC’s Lyme disease case definition in making a diagnosis. These clinicians require that patients meet this strict and narrow criteria in order to be diagnosed with the disease.” [2] “However, this definition was designed as a surveillance monitoring tool to track the number of Lyme disease cases throughout […] Read More |
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Lyme disease and double vision 04/15/2020 - I will be discussing a 69-year-old man with Lyme disease and double vision. In this case, the man developed Lyme disease and double vision from 3rd nerve palsy rather than the more common 7th nerve palsy. By Dr. Daniel Cameron Dixit and colleagues first discussed this case in the journal Case Reports in Neurological Medicine […] Read More |
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Looking for a Lyme doctor? 04/14/2020 - It can be difficult to find a Lyme doctor who treats patients who do not live in an endemic area or have a history of a tick bite. It can also be difficult to find a doctor when a person presents with non-specific manifestations of Lyme disease, which may include: Neuropsychiatric Lyme disease [1] Pediatric […] Read More |
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Chinese man with a negative Lyme disease test. An inside Lyme Podcast. 04/12/2020 - I will be discussing a 75-year-old Chinese man with a negative Lyme disease test. How often have doctors dismissed Lyme disease if the screening tests are negative? By Dr. Daniel Cameron Lamichhane and colleagues first discussed this case in the journal Case Reports in Infectious Diseases in 2018. A 75-year-old Chinese man was evaluated in […] Read More |
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A boy with severe cardiac Lyme disease. An Inside Lyme Podcast. 04/10/2020 - I will be discussing a 15-year-old boy with severe cardiac Lyme disease in this Inside Lyme podcast. By Dr. Daniel Cameron Nawrocki and his colleague first discussed this case in the Air Medical Journal in 2018. A 15-year-old boy experienced an episode of exertional syncope while at a trampoline park. Syncope is a temporary loss […] Read More |
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What is “chronic Lyme disease”? 04/10/2020 - Shor and colleagues identified a broad range of symptoms, signs, and conditions present in acute and chronic Lyme disease patients regardless of whether or not they received treatment.All of the cases referenced by the International Lyme and Associated Diseases Society (ILADS) working group had been diagnosed with Lyme disease based upon direct laboratory evidence of […] Read More |
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4 children infected with Lyme disease in the south from one camp 04/02/2020 - The number of tick-borne diseases, including Lyme disease, has been steadily rising in the South as tick populations expand into new territories. One study reports, “The trends in these data paint a clear picture of southward expansion of Lyme disease.” As a result, communities once considered non-endemic for Lyme disease will be at risk, including […] Read More |
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Woman with Lyme disease and vision problems. An Inside Lyme Podcast 04/02/2020 - Welcome to an Inside Lyme case study. I find that the best way to get to know Lyme disease is through reviewing actual cases. I will be discussing a 46-year-old woman with Lyme disease and vision problems. By Dr. Daniel Cameron Jha and her colleague first discussed this case in the Wisconsin Medical Journal in 2018. […] Read More |
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Causes of long term Lyme disease symptoms 03/28/2020 - Long term lyme disease symptoms are all to common. According to one study, at their six-month follow-up visit, “36% of patients reported new-onset fatigue, 20% widespread pain, and 45% neurocognitive difficulties.” [3] So, how could Lyme disease symptoms persist long term? There have been many theories, including recent findings that suggest persistent symptoms may be […] Read More |
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Breast cancer and Lyme disease: one woman’s message 03/25/2020 - The woman, a mother to three boys, initially assumed a lump in her breast was due to Lyme disease. “Before I was diagnosed with breast cancer, I thought a lump I had found was part of my Lyme disease. I thought, ‘Okay, let me just watch this and see if it goes away over the […] Read More |
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Risks of COVID-19 from patients. An Inside Lyme Podcast. 03/24/2020 - Welcome to my next Inside Lyme podcast. – Forty health care workers and 17 patients were presumed to have been infected with COVID-19 in a Chinese hospital. I will be discussing the risk of COVID-19 from patient to health care worker and patient-to-patient transmission. By Dr. Daniel Cameron You may be wondering why I am […] Read More |
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Fecal transmission of COVID-19 in children? An Inside Lyme Podcast. 03/22/2020 - Welcome to my next Inside Lyme podcast. – I will be discussing the risk of fecal transmission of COVID-19 in children. You may be wondering why I am discussing COVID-19 during an Inside Lyme podcast. I am concerned for my children, grandchildren, and my patients. I would like to share my understanding of COVID-19 through […] Read More |
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Lack of knowledge about Lyme disease in Canada 03/22/2020 - Researchers surveyed 137 participants from 11 professional and recreational organizations across New Brunswick between December 2018 and February 2019 to better understand Lyme disease in canada. Thirty-six percent of the participants spent time outdoors for their occupation and 64% for recreational activities. Only one of the participants had been previously diagnosed with Lyme disease in […] Read More |
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What is the risk for children with COVID-19? An Inside Lyme Podcast. 03/19/2020 - I will be discussing the risk for children with COVID-19 disease based on a recent paper by Dong and colleagues. By Dr. Daniel Cameron Dong and colleague first discussed this case in the journal Pediatrics in 2020. Welcome to my next Inside Lyme podcast. – This episode discusses the risk for children with Coronavirus COVID-19. […] Read More |
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Babesia treatment of two travelers. An Inside Lyme Podcast. 03/18/2020 - I will be discussing the Babesia treatment of two USA travelers after returning to South Korea. These cases are being discussed during my Inside Lyme podcast series. By Dr. Daniel Cameron Kwon and her colleague describe the cases of two women, who contracted Lyme disease co-infections while visiting the United States. The cases are discussed […] Read More |
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What is a Lyme literate doctor? 03/18/2020 - In the Infectious Diseases Society of America (IDSA) guidelines, Wormser and colleagues initially dismissed Lyme disease symptoms as nothing more than the aches and pains of daily living.[2] A Lyme literate doctor would disagree. That conclusion, however, has been undermined by findings from clinical trials, sponsored by the National Institutes of Health (NIH), which report […] Read More |
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Babesia infections explode in Hudson Valley, NY 03/15/2020 - In their article “Increasing incidence and changing epidemiology of babesiosis in the Hudson Valley region of New York State: 2009-2016,” ¹ Joseph and colleagues question how cases of Babesia infections are spreading given that the animal reservoirs mice, shrews, and voles typically do not travel large distances. Cases of Babesia have been reported in two counties […] Read More |
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Removal of an engorged tick anchored to an eyelid. An Inside Lyme Podcast. 03/15/2020 - Welcome to an Inside Lyme case study. I find that the best way to get to know Lyme disease is through reviewing actual cases. I will be discussing how to remove an engorged tick in an eyelid. By Dr. Daniel Cameron Jaroudi and colleagues first discussed this case in the journal Case Reports in Ophthalmology […] Read More |
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Two mothers transmit Babesia to their babies. An Inside Lyme Podcast. 03/11/2020 - Welcome to an Inside Lyme case study. I find that the best way to get to know Lyme disease is through reviewing actual cases. I will be discussing two mothers who transmitted Babesia to their babies. By Dr. Daniel Cameron Saetre and colleagues first described these cases in the Journal of the Pediatric Infectious Disease […] Read More |
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Post Treatment Lyme disease syndrome (PTLDS) cases: An Inside Lyme Podcast. 03/07/2020 - Welcome to an Inside Lyme case study. I find that the best way to get to know Lyme disease is through reviewing actual cases. I will discuss four Lyme disease patients that developed Post Treatment Lyme disease syndrome (PTLDS). By Dr. Daniel Cameron Wormser and colleagues first described these four cases in the journal Diagnostic Microbiology […] Read More |
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Are antibiotics used to treat Lyme disease effective? 03/06/2020 - An article entitled “Antibiotic treatment in patients that present with solely non-specific symptoms and positive serology at a Lyme centre,” published in the European Journal of Internal Medicine, ¹ describes a study which addresses the question: Are short-term antibiotics used to treat Lyme disease effective in patients whose symptoms are subjective? The study examined 97 patients […] Read More |
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Lyme disease forces 24-year-old army officer out of the military. An Inside Lyme Podcast. 03/04/2020 - Welcome to an Inside Lyme case study. I find that the best way to get to know Lyme disease is through reviewing actual cases. I will be discussing a 24-year-old army officer who was forced out of the military due to Lyme disease. By Dr. Daniel Cameron We often think of Lyme disease as a […] Read More |
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ALDF article fails to mention flaws in Lyme disease trials 03/03/2020 - Dr. Baker, director of the American Lyme Disease Foundation, who was responsible for overseeing The National Institute of Allergy and Infectious Diseases’ (NIAID) Lyme disease program, wrote in his article, “The results of 5 placebo-controlled clinical trials on the efficacy of extended antibiotic therapy for the treatment of post-Lyme disease symptoms provided no evidence of […] Read More |
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Baby boy with Babesia. An Inside Lyme Podcast. 03/01/2020 - Welcome to an Inside Lyme case study. I find that the best way to get to know Lyme disease is through reviewing actual cases. In this case study, I will be discussing a 6-week old baby boy with Babesia. This case series will be discussed on my Facebook and made available on podcast and YouTube. […] Read More |
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Is suppressing immunity harmful to Lyme disease patients? 02/29/2020 - The authors compared 16 individuals with Lyme disease receiving TNF-α inhibitors with 32 healthy controls to understand whether suppressing their immunity is harmful. The individuals had confirmed Lyme disease with an erythema migrans rash manifestation. The patients received immune-suppressing medications, which included adalimumab, infliximab, etanercept, golimumab. These were often combined with other immunosuppressant drugs for […] Read More |
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Symptoms of Lyme disease are not “excessive” 02/25/2020 - Clinicians face great challenges in diagnosing disorders that involve symptoms seen in both general medicine and psychiatry, ” wrote Robert Bransfield, MD, a psychiatrist and professor at Rutgers Robert Wood Johnson Medical School. All too often, these patients are labeled as having “excessive” symptoms and given outdated diagnoses (i.e. psychosomatic disorder). Symptoms of Lyme disease […] Read More |
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Tick bite with Lyme disease, Babesia, and Anaplasmosis. An Inside Lyme Podcast. 02/24/2020 - Welcome to an Inside Lyme case study. I find that the best way to get to know Lyme disease is through reviewing actual cases. In this case study, I will be discussing a 74-year-old woman with a tick bite with Lyme disease, Babesia, and Anaplasmosis. This case series will be discussed on my Facebook and […] Read More |
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Is Lyme disease being overlooked during infectious disease consultations? 02/20/2020 - In their article “Functional signs in patients consulting for presumed Lyme borreliosis,” Voitey et al. [1] found that in the 48 patients diagnosed with Lyme disease, the most common functional symptoms were arthralgia (23%), neuropathic pain (23%) and asthenia (17%). Asthenia is characterized by abnormal physical weakness or lack of energy. Their result raise concerns whether […] Read More |
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Baby girl with Lyme disease. An Inside Lyme Podcast. 02/19/2020 - Welcome to an Inside Lyme case study. I find that the best way to get to know Lyme disease is through reviewing actual cases. In this case study, I will be discussing a 5-week old baby girl with Lyme disease. This case series will be discussed on my Facebook and made available on podcast and […] Read More |
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Young man dies from Lyme carditis. An Inside Lyme Podcast. 02/16/2020 - Welcome to an Inside Lyme case study. I find that the best way to get to know Lyme disease is through reviewing actual cases. In this case study, I will be discussing a 17-year-old young man who died of Lyme carditis. This case series will be discussed on my Facebook and made available on podcast […] Read More |
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What percentage of ticks have Lyme disease? 02/15/2020 - As the authors point out, “Concurrent polymicrobial infections in humans can have a synergistic effect and result in a more severe course of illness.” In an effort to investigate what percentage of ticks have Lyme disease, the researchers examined three tick species, including the deer tick (Ixodes scapularis), found in Suffolk County, Long Island. Their […] Read More |
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Which Lyme disease guidelines should you follow for Lyme Carditis? 02/11/2020 - In their article Lyme Carditis: A Rare Presentation of Sinus Bradycardia Without Any Conduction Defects, Grella and colleagues present “a unique case of Lyme carditis, without the classical findings of Lyme disease [such as a rash] or common EKG findings of AV conduction abnormalities.”¹ The case highlights the differences in Lyme disease guidelines. A 56–year-old […] Read More |
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Babies contracted Babesia, a Lyme disease co-infection, during pregnancy.. An Inside Lyme Podcast. 02/07/2020 - Welcome to an Inside Lyme case study. I find that the best way to get to know Lyme disease is through reviewing actual cases. In this case study, I will be discussing two babies who contacted Babesia from their mothers. This case affords a discussion Lyme disease during pregnancy.This case series will be discussed on […] Read More |
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Psychiatric lyme disease 02/06/2020 - In their article, Bransfield et al. describe two patients with complex, multisystemic illnesses, which included Lyme disease. Both patients suffered from debilitating symptoms over several years, leaving them unable to walk and confined to a wheelchair. Doctors dismissed their complaints, which ranged from fatigue and weight loss to seizures and cognitive impairments. They were labeled […] Read More |
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Conversion disorder, Guillain-Barré syndrome or neurologic Lyme disease? 02/02/2020 - Teodoro and colleagues describe the case of a woman who was initially suspected of having a conversion disorder but later diagnosed with Guillain-Barré syndrome, possibly triggered by neurologic Lyme disease. ¹ (Conversion disorder is a mental condition in which a person has blindness, paralysis, or other nervous system (neurologic) symptoms that cannot be explained by […] Read More |
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Lyme disease in England 01/30/2020 - The people who did seem to suffer from chronic symptoms were those with neurologic problems. “Those that have confirmed neurological Lyme disease in England- a late complication present in about one in 10 cases – have a higher rate of long term subjective symptoms, such as fatigue and poor concentration,” writes Harvey. Matthew Dryden, consultant […] Read More |
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A severe Babesia infection 01/26/2020 - Although the majority of Babesia cases are treated with antimicrobial agents, patients with severe cases may require an exchange transfusion (ET). In their article, “Repeat exchange transfusion for treatment of severe babesiosis,” Radcliffe and colleagues describe the case of a 73-year-old woman with an extreme case of a Babesia infection, who was immunocompromised. [3] The woman ultimately […] Read More |
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Is prolonged antibiotics treatment for Lyme disease the new norm? 01/23/2020 - According to an annual, cross-sectional, nationwide survey, 20.3% were treated for 5 to 8 weeks, while 35.6% were treated for more than 8 weeks. The CDC authors were surprised at the number of Lyme disease (LD) cases being treatment with long term antibiotics “A surprisingly large proportion of respondents reported receiving more than 8 weeks […] Read More |
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Tick-borne encephalitis and Lyme disease can lead to chronic illness 01/15/2020 - In an effort to better understand the role of the immune responses in the clinical course and post-treatment outcome of tick-borne encephalitis (TBE), Bogovič and colleagues “assessed 24 cytokines and chemokines associated with innate and adaptive (T and B cell) immune responses.” A black-legged (Ixodes spp) tick can transmit tick-borne encephalitis and Lyme disease. The […] Read More |
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Fatal case of Neuroborreliosis 01/12/2020 - Neuroborreliosis manifestations typically include headaches and symptoms of meningitis, encephalopathy and stroke-like symptoms. The diagnosis is based on clinical symptoms and lumbar puncture findings. The woman had other serious health problems, which included lupus, a left-posterior parietal ventriculoperitoneal (VP) shunt due to congenital hydrocephalus, and migraine headaches, explains Khan. Diagnostic tests revealed renal failure and […] Read More |
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Lyme carditis diagnosis – 18 cases. 01/09/2020 - “[Lyme carditis] is caused by direct invasion of myocardial tissue by spirochetes and an immunological host response causing lymphocyte inflammation,” writes Marcos¹ in a discussion of Lyme carditis diagnosis. Furthermore, “B. burgdorferi has a predisposition to cause inflammation of the atrioventricular (AV) node resulting in variable conduction abnormalities.” The 18 patients with possible Lyme carditis were […] Read More |
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Looking for Lyme disease news? Top 10 for 2019. 01/06/2020 - Looking for a Lyme disease news? Here are the top 10 Lyme disease news items for 2019 for www.DanielCameronMD.com. 1) A growing number of doctors are treating Lyme disease for longer than 21 days.Tseng and colleagues described 488 physicians who treated for more than five weeks in a review of insurance claims data in the […] Read More |
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Lyme disease myths lead to frustrations for doctors 01/02/2020 - Doctors have also shared their frustration in a survey taken by Dr. Lynora Saxinger, an infectious disease specialist and associate professor at the University of Alberta’s medical school. Lyme disease myths may lead to frustrations for doctors. The survey reported that “30% [of doctors] said they have been pressured to give antibiotics and almost 90% […] Read More |
Blog Posts – 2019
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Top 10 Lyme disease blogs for 2019! 12/30/2019 - Following is a list of the top blogs on Lyme disease and other tick-borne illnesses for 2019 according to our readers. (Please click on the headline to read the complete Lyme disease blogs.) 1.) First report of Lyme disease causing mitral valve endocarditis There have been multiple reports documenting cardiac manifestations of Lyme disease, including […] Read More |
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Killing ticks through controlled burns 12/27/2019 - In the short run, we can kill ticks, explains Hodo and colleagues. “Controlled burns may affect tick populations, pathogen prevalence, and risk of pathogen exposure to humans and animals and therefore may be a useful tool in integrated tick management.” wrote Hodo in an article addressing killing ticks. “We found a marked difference in density […] Read More |
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Patients can die when Lyme carditis is not treated 12/20/2019 - Lyme disease can lead to acute and chronic illness. But deaths from Lyme disease can occur. “Death can occur when Lyme carditis is untreated,” wrote Marx, from the Centers for Disease Control and Prevention (CDC), in the Annuals of Internal Medicine. “Before this report, only 9 fatal cases were reported in the literature.” Case 1: […] Read More |
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Bannwarth syndrome and weight loss – an atypical case 12/11/2019 - Bannwarth syndrome is typically seen in Europe. However, in 2017 doctors from Mayo Clinic described 5 patients with the disease living in Minnesota and Wisconsin. All of the patients presented with peripheral neuropathy. Now, a 2019 case report by Diaz ¹ describes a 60-year-old man from the United States with a variant Bannwarth syndrome. The man […] Read More |
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Treatment guidelines for Lyme disease strike out. An editorial. 12/08/2019 - There is growing evidence supporting the existence and severity of chronic manifestations of Lyme disease despite recent treatment guidelines for Lyme disease. Studies have found that at least 1 in 3 patients treated for Lyme disease remained ill years after treatment. Furthermore, 4 clinical trials sponsored by the National Institutes of Medicine (NIH) documented the […] Read More |
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Study identifies189 children with Lyme carditis 12/05/2019 - In their article addressing the heart and Lyme disease “Increasing Burden of Lyme Carditis in United States Children’s Hospitals,” Beach et al.¹ reveal the rise in Lyme carditis cases throughout the U.S. The largest increases, they write, were found in the Midwest, including the Ohio valley. According to the authors, the children with Lyme carditis […] Read More |
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Brain MRI in Lyme disease 12/02/2019 - The authors review the role of medical imaging for various infectious diseases including the Zika virus, measles, influenza, Chagas disease, syphilis, and Lyme disease. The authors include a discussion of a brain MRI in Lyme disease. Although it is uncommon, Lyme disease patients have presented with positive radiologic findings, writes Alves Simão. Test results, however, […] Read More |
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C6 peptide test may indicate Borrelia miyamotoi infection 11/28/2019 - Koetsveld and colleagues examined C6 reactivity in sera from both mice infected with Borrelia miyamotoi and from 46 patients with PCR-positive Borrelia miyamotoi disease (BMD). Their results support the use of the C6 peptide test used for for Lyme disease as an indication of borrelia miyamotoi test They found, “Cross-reactivity against the C6-peptide was confirmed […] Read More |
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Treatment of Lyme arthritis with disease-modifying antirheumatic drugs (DMARD) 11/23/2019 - Antirheumatic drugs (DMARDs) are intended to slow down disease progression. Synthetic DMARDs include methotrexate and sulfasalazine. Biological DMARDs include the tumor necrosis factor alpha (TNFα), blockers infliximab (Remicade®), interleukin 1 blockers anakinra (Kineret®), and monoclonal antibodies against B cells (such as rituximab) and the T cell costimulation blocker abatacept (ORENCIA®). The article addressed the factors […] Read More |
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Could advanced imaging reveal cognitive impairment in the brain of a Lyme disease patients? 11/19/2019 - Multiple studies indicate that neurotransmitter levels can be “related to measures of behavioral outcomes, such as memory, reaction timing,” writes Oeltzschner in the journal Neurobiology of Aging. “These relationships can be region-specific.” Their results might lead to new insights to the brain of Lyme disease patients. Measuring these levels, he adds, “could be a promising […] Read More |
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Consequences of antibiotic stewardship for Lyme disease patients. An opinion. 11/16/2019 - Patients who did not receive antibiotics or who had delayed antibiotic treatment had approximately twice as many hospital admissions than patients who had been prescribed antibiotics as soon as symptoms appeared. This paper offers insight into the risk of antibiotic stewardship for Lyme disease. According to their study, more than 13% of the patients did […] Read More |
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My child has Lyme disease. Parents describe fear and frustration. 11/12/2019 - In fact, one study found that in Ontario, Canada adolescents ages 15 to 19 comprised the group of patients most frequently hospitalized for Lyme disease.¹ And the number of cases is expected to escalate. “Increasing numbers of Canadians, including children and adolescents, are being infected with Borrelia burgdorferi and contracting Lyme disease,” writes Gaudet and […] Read More |
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How many patients do not meet the CDC criteria for Lyme disease? 11/07/2019 - Kobayashi and colleagues concluded that nearly 3 out of 4 patients referred to the clinic did not have Lyme disease using the CDC criteria for Lyme disease. They did not interview the referring doctor at Johns Hopkins University School of Medicine. Instead, they conducted a chart review. However, to be included in the study, patients […] Read More |
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Hispanic risk of Lyme disease. 11/01/2019 - In their article, “Knowledge and prevention of tick-borne diseases among Hispanic and non-Hispanic residents of Maryland and Virginia,” Hu and colleagues examined U.S. Lyme disease (LD) surveillance data and found that “Hispanics were more likely to have disseminated LD compared with non-Hispanics.” The paper address the Hispanic risk of Lyme disease. The authors summarized several […] Read More |
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Lyme vaccine for humans. The race for a new vaccine. 10/27/2019 - LYMErix was withdrawn from the market in 2002 after concerns over its safety. Since then, there has been growing speculation as to whether researchers will ever be able to develop an effective and safe Lyme disease vaccine for humans. The stakes are high in the race for a new Lyme disease vaccine of humans. “There […] Read More |
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Babesia duncani emerges in Eastern U.S. and may go undetected 10/21/2019 - New research indicates, however, there may no longer be a division of babesial strains between the East Coast and the West Coast. In their article “Babesia microti – Borrelia burgdorferi Co-infection,” Parveen reports that B. duncani has now been identified in eastern USA and Canada.¹ “Since B. duncani is widespread in Canada, its southern spread […] Read More |
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Tick prevention for humans vary between socio-economic levels 10/17/2019 - As part of a TickNET collaboration, researchers examined the knowledge, attitudes, and behaviors related to tick-borne disease prevention among persons living in endemic areas of Connecticut and Maryland.¹ They found that out of the nearly 2,000 people surveyed, performing tick checks for humans and applying tick control to pets were the two most common tick […] Read More |
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How to treat Babesia – a review of 38 cases at the Mayo clinic. 10/13/2019 - The authors found that nearly 50% of patients did not recall a tick bite and had a delay in diagnosis due to the broad range of symptoms. The average age was 63. None of the patients died. Malaise was the most common symptom (84%) reported, followed by fever (71%), chills (52%) and joint pain (32%). […] Read More |
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Chronic post-concussion syndrome symptoms due to Lyme disease 10/03/2019 - Researchers at the Azzolino Clinic in San Francisco, California “identified an alarming number of individuals suffering from post-concussion syndrome (PCS), that are refractory to care and that have serologically tested positive for Lyme disease.” [1] “Furthermore, we have witnessed a dramatic improvement in function and reduction in disability following treatment of these patients,” writes Azzolino […] Read More |
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Impact of environmental changes on tick-borne diseases in Canada 09/26/2019 - Scientists have documented a number of climate changes occurring in Canada, such as rising temperatures, changes in rainfall patterns and extreme weather events (i.e. extreme heat and rainfall). They believe, however, that the greatest environmental threat impacting TBDs has been global warming and the increase in temperatures. Canada has already witnessed a growing number of […] Read More |
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Military dependent child contracts Lyme disease abroad? 09/20/2019 - Lyme disease is known to be endemic to Japan, but is rarely diagnosed. Between 2006 and 2010, only 41 cases of Lyme disease were reported, according to the authors. “Forty-one cases were domestic cases with 19 suspected to have been acquired in Hokkaido, 5 cases in Nagano, and 2 cases each in Kanagawa, Niigata, Gifu, […] Read More |
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Reasons for patients not disclosing Lyme disease to their doctor? 09/15/2019 - The results of a survey by Levy et al. offer some possible answers. The authors looked at patients who had suffered at least 1 of 4 imminent threats including depression, suicidality, abuse, and sexual assault. They found “that many people withhold information from their clinicians about imminent health threats that they face,” writes Levy. [1] The […] Read More |
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Clinical judgment leads to successful Lyme disease treatment in young child 09/09/2019 - 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 rash was allergic dermatitis and prescribed topical steroids. But the rash did not improve, explains Banadyha and colleagues in their case report. Over the next 1½ months the rash spread to the […] Read More |
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Persistent Lyme infection or inflammatory immune response? 09/05/2019 - The PG(Bb) fragments likely “contribute to inflammation during infection and in cases of post-infectious Lyme arthritis.” In a mouse study, the authors found “that PG(Bb) alone was sufficient to induce acute arthritis.” Furthermore, Jutras and colleagues suggest that “immune responses to PG(Bb) and autoantigens may contribute to pathology, even after the infection itself has been cleared.” […] Read More |
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Stopping the malaria epidemic: lessons for Lyme disease? 09/01/2019 - While there are many differences between these vectors and the diseases they transmit, the authors seek to answer the question: Why did malaria and other mosquito-borne diseases elicit effective interventions while Lyme and the other tick-borne diseases have not? Lyme disease is “one of the most challenging contemporary public health problems,” writes Rochlin. And while […] Read More |
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Ticks: transmitting multiple infectious agents 08/28/2019 - “Besides the rise in the number of cases of Lyme disease, caused by genospecies of the Borrelia burgdorferi s.l. complex, important tick-borne diseases also include anaplasmosis, ehrlichiosis, Rocky Mountain spotted fever, Powassan virus, and babesiosis,” writes Benelli. [1] Ticks can also be frustrating if your child, livestock, or pet becomes infected. Have you found ticks […] Read More |
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Dismissing chronic Lyme disease for somatic symptom disorder diagnosis 08/28/2019 - Peri and colleagues reviewed the medical records of children admitted to a hospital in Italy between January 2016 and December 2018. They identified 26 children who had a diagnosis of Lyme disease. Seven fit the criteria for chronic Lyme disease. But the authors disputed these findings, suspecting instead that the patients suffered from a somatic […] Read More |
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Recognizing knee pain associated with Lyme disease 08/26/2019 - Dr. Miller often treats empirically. “Because early treatment of Lyme disease decreases the chance of chronic symptoms, we often treat empirically with doxycycline while awaiting results of antibody testing. Travelers to high-risk areas may return home and develop symptoms weeks later.” Source: https://www.ncbi.nlm.nih.gov/pubmed/31259503 Related Articles: Will steroid injections help children with Lyme arthritis of the knee? […] Read More |
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What exactly is POTS – postural tachycardia syndrome? 08/21/2019 - The cause of POTS is not well understood but researchers believe it is due to multiple factors. According to Wells and colleagues, “moderate autonomic dysfunction, increased sympathetic tone, severe deconditioning, inadequate venous return or excessive blood venous pooling may contribute to POTS symptoms.” In addition, “Autoimmunity and mast cell activation syndromes have been postulated as […] Read More |
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Number of post-treatment Lyme disease cases expected to soar 08/18/2019 - For a significant number of patients with Lyme disease, standard antibiotic treatment does not work. In fact, recent studies [1-3] have shown that treatment failure rates may range between 10% and 20%, writes DeLong and colleagues. [4] These patients can continue to suffer for years with debilitating symptoms, including pain, fatigue, cognitive dysfunction, and other […] Read More |
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Lyme carditis presenting as atrial fibrillation treated successfully 08/11/2019 - A case study published in the British Medical Journal features a 23-year-old man with a history of degenerative joint disease who presented with a sudden onset of palpitations. [2] His echocardiogram (ECG) revealed atrial fibrillation (AF) with a mildly dilated left Atrium. The patient did not recall a tick bite or a rash. And, “Although […] Read More |
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Human bite leads to discovery of Asian longhorned ticks in New York 08/06/2019 - The tick species continues to spread, however, in the U.S. It was first identified on sheep in New Jersey in 2017. Since then, it has spread to 11 states, according to the Centers for Disease Control and Prevention (CDC). These include Arkansas, Connecticut, Kentucky, Maryland, North Carolina, New Jersey, Pennsylvania, Tennessee, West Virginia, Virginia and […] Read More |
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Study explores the risk of tick bites among German military personnel 07/31/2019 - The authors examined the incidence of tick bites among military personnel specifically occurring during field training and the rate of complications resulting from the bite. They found that “One out of 17.5 recruits suffered a tick bite during basic training.” [1] “It turns out that there is a rather low but relevant risk of being […] Read More |
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Neurological damage/dysfunction found in early Lyme disease patients 07/23/2019 - The authors conducted a study to determine whether a proton magnetic resonance spectroscopy (1H-MRS) could identify neurologic damage in early Lyme disease patients when an MRI failed to do so. Garkowski and colleagues hypothesized that an MRS could assess neurologic changes in Lyme disease patients by measuring alterations in cerebral metabolism. [1] The study included […] Read More |
| Growing list of cardiac problems in Lyme disease 07/18/2019 - In their article “First case report of inducible heart block in Lyme disease and an update of Lyme carditis” by Kannangara and colleagues. This is the first case report of an inducible heart block in Lyme disease. The young man initially presented to the emergency department with syncope. “ECG showed sinus bradycardia with first degree […] Read More |
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Infected deer ticks moving into New York City 07/15/2019 - There has been an “unprecedented increase in locally acquired cases in New York City,” writes VanAcker in the journal Emerging Infectious Diseases. [2] In response, VanAcker and colleagues launched a study to determine tick densities and B. burgdorferi infection prevalence in nymphal deer ticks (I. scapularis) in New York City’s public parks. They also examined […] Read More |
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Getting the diagnosis correct and avoiding ‘anchor bias’ 07/11/2019 - Conversely, anchor bias might also occur if a doctor considers only the initial information and incorrectly diagnoses Lyme disease and misses the true diagnosis. Aguirre and colleagues describe this scenario in their paper Anchoring Bias, Lyme Disease, and the Diagnosis Conundrum. [1] A 29-year-old man living in Florida presented with severe headaches, fever, myalgia, and […] Read More |
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Article outrage: Lyme disease easily treated? 07/01/2019 - The New York Times article, written by Apoorva Mandavilli, the mother of a 9-year-old boy who developed Lyme disease, portrays it as a relatively insignificant disease. It is, as she states, “An easily treated infection with no long-term consequences for children, or even the vast majority of adults.” However, she goes on to cite several […] Read More |
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Should Lyme disease be added to the causes of vocal cord paralysis? 06/24/2019 - (Updated: 6/24/19) In the Prevention article, doctors describe how Lyme disease can impact a person’s vocal cords. “Lyme can affect the nerves that are responsible for controlling the muscles in the vocal cords,” says Amesh A. Adalja, MD, an infectious disease specialist at Johns Hopkins Center for Health Security. “As a result, someone could technically lose their […] Read More |
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What does it take to be a “Lyme literate” doctor? 06/20/2019 - So, what does it take to be “Lyme literate”? Baker argues that “Lyme disease conforms to the same fundamental rules and principles applicable to other infectious diseases.” But he fails to define what it would take for a board certified infectious disease specialist to be “Lyme literate.” I would assume a “Lyme literate” doctor would be able to […] Read More |
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Bourbon virus: flu drug to treat the deadly disease? 06/14/2019 - In 2017, a 58-year-old woman from Missouri, who initially presented with generalized weakness, myalgia, nausea, and a rash, was diagnosed with the virus. She had been exposed to ticks one week earlier. She died after 23 days in the hospital. The virus is so new that relatively little is known about it. Symptoms typically include […] Read More |
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Prevalence of Borrelia infections and Powassan virus in Maine 06/10/2019 - While the Powassan virus is considered rare, it can be dangerous and is fatal in 10% of the cases. In 2013, a Maine woman died from the disease and as of 2017, 10 residents had been infected. An increase in cases of Powassan is particularly alarming, given that there is no medication to treat this […] Read More |
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Relying on a negative Lyme disease test can prove deadly 06/10/2019 - In the summer of 2013, a young man from Poughkeepsie, NY, died suddenly after suffering from flu-like symptoms for nearly 3 weeks. Initial reports suggested he had died from complications due to the Powassan virus, a rare illness, transmitted by ticks that can be fatal. However, a paper published in the March issue of Cardiovascular Pathologist, 3. […] Read More |
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Powassan virus infection causes polio-like illness 06/06/2019 - While vacationing in rural Newfoundland, the man developed nausea, vomiting, abdominal pain, double vision (diplopia) and impaired coordination (ataxia). He was admitted to a hospital where his symptoms worsened. The man became febrile and experienced slurred and slow speech (dysarthria), weakness, and respiratory distress. “Cerebrospinal fluid analysis showed pleocytosis (159 × 106 total nucleated cells: […] Read More |
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What blood type do ticks prefer? 06/04/2019 - To explore the possible association, Žákovská and colleagues from Masaryk University in the Czech Republic conducted a pilot study using an in vitro method. Blood from volunteers was placed on the perimeter of filter paper placed on a Petri dish. Researchers collected 100 nymphal Ixodes ricinus ticks in Ruda, near the Brno Reservoir. These are […] Read More |
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The third rail of Lyme disease: how Borrelia bacteria persist 05/28/2019 - The working group, led by Dr. John Aucott of Johns Hopkins Lyme Disease Clinical Research Center, released its first report in 2018. The report included multiple suggestions to address the “serious and growing threat of tick-borne diseases.” Authors of the report called on the government to invest more funds in research, prevention and treatment of […] Read More |
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Yale doctor says children don’t have Lyme, but medically unexplained symptoms 05/24/2019 - In a 2014 interview, Dr. Eugene Shapiro, dismissed patients’ concerns over chronic symptoms associated with Lyme disease And recommended the medical community “figure out ways to reduce healthcare-seeking behaviors” by patients who are ill and told they do not have Lyme disease. Shapiro expressed his concerns after reviewing Yale Medical Center’s patient database and finding […] Read More |
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Lyme disease consultations common in France 05/19/2019 - According to Haddad, more than 1,000 individuals consulted 1 of 3 centers in France about presumed Lyme borreliosis. However, the majority (90%) were not diagnosed with Lyme disease. “The most striking result is that approximately 10% of such patients have a final diagnosis of LB [Lyme borreliosis],” writes Haddad. Yet, in one of the studies […] Read More |
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6 cases of Babesia in early Lyme disease 05/05/2019 - Out of the 52 patients, 4 (7.7%) “had convincing evidence of Babesia microti co-infection,” writes Wormser. These patients, along with 2 additional cases of suspected Babesia, were highlighted in the article. Patient 1: 69-year-old with fever on day 4 of amoxicillin therapy. Positive for B. microti by blood smear and DNA by PCR. Patient 2: […] Read More |
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9 cases of children in France with Lyme neuroborreliosis 05/05/2019 - “The exact prevalence of NB [neuroborreliosis] in France is unknown because reporting is not required,” explains Guet-Revillet. “Nevertheless, the prevalence seems rare.” The outcome for the 9 children “was favorable” after a 2- to 3-week course of third-generation cephalosporin. However, the outcomes have not been so positive for other pediatric cases. According to the authors’ […] Read More |
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Lyme pseudothrombophlebitis in a young child 05/04/2019 - The pain had been ongoing for one week. “He described the pain as throbbing, worse with movement, and improved with rest,” writes Sandelich and colleagues. Three days earlier, the boy had visited a different emergency department and was diagnosed with a muscle sprain following results from an X-ray. The boy’s pain, however, continued, and an ultrasound […] Read More |
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People re-infected with Lyme disease may develop strain-specific immunity 05/02/2019 - “It is common knowledge among veterinarians who practice in LD endemic areas that a significant percentage of dogs will develop repeated LD infections,” writes Khatchikian in the journal Infection and Immunity. [2] “This phenomenon is well-documented in humans,” as well, explains Khatchikian. “In one study, 15% of patients with LD living in a Lyme endemic […] Read More |
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How do Lyme disease vaccines work in dogs? 04/29/2019 - Lyme disease is the most common tick-borne disease affecting humans and dogs. According to the Companion Animal Parasite Council (CAPC), 319,000 canines tested positive for Lyme disease in 2018. This is up from 160,000 in 2012. In reality, the council says, these numbers are much higher, because data is collected for only 30% of the […] Read More |
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Cats carry all types of ticks and tick-borne diseases 04/22/2019 - Updated: April 22, 2019 In a study by Shannon and colleagues, 160 ticks and blood samples were collected from 70 healthy cats brought to the Mid Atlantic Cat Hospital in Queenstown, Maryland. [1] The authors found that the cats were carrying 3 species of ticks including 83 Lone Star ticks (Amblyomma americanum), 7 American dog ticks (Dermacentor […] Read More |
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The best antibiotics to treat Borrelia miyamotoi? 04/17/2019 - In the United States, as many as 15.4% of the blacklegged ticks were found to be infected with B. miyamotoi, compared with up to 4% in Europe and Japan, according to Koetsveld from the Center for Experimental and Molecular Medicine, Academic Medical Center, Amsterdam, the Netherlands. [1] Meanwhile, “Seroprevalence studies in New England suggest that […] Read More |
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Only a minority of children with Lyme disease recall a tick bite 04/12/2019 - The study looked at 325 children with Lyme disease who were evaluated at six different emergency medicine departments located in Lyme endemic regions. The patients all had an available tick bite history. “Our goal was to report the frequency of a known tick bite in children with Lyme disease overall and by stage,” the authors […] Read More |
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Lyme borreliosis patients not receiving treatment, says infectious disease doctor 04/07/2019 - The study, by Roaldsnes and colleagues, describes 110 patients with muscular and joint pain, fatigue, memory and concentration impairments, who were assessed for possible Lyme neuroborreliosis. These patients had non-specific neurological symptoms. “Only one patient was diagnosed with possible Lyme neuroborreliosis. Altogether 27% had high levels of Borrelia-IgG serum antibodies,” the authors write. Many of […] Read More |
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Lyme disease forces 24-year-old army officer out of military 04/01/2019 - In the case report “Latent Lyme Disease Resulting in Chronic Arthritis and Early Career Termination in a United States Army Officer,” Weiss et al. describe a 24-year-old Second Lieutenant, trained at the U.S. Military Academy, whose career was terminated due to Lyme disease. [1] The young man had unexplained knee swelling after successfully completing hip […] Read More |
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Lyme disease manifests as an autoimmune disorder, Sjögren’s syndrome 03/28/2019 - A 43-year-old woman initially presented to an oncology clinic with symptoms of lymphadenopathy, a disease of the lymph nodes. She complained of low-grade fever, generalized swelling of lymph nodes, migrating aches in joints of arms and legs, dryness in mouth and eyes, weight loss, and fatigue for the past 6 months, writes Smiyan and colleagues. […] Read More |
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Study finds tiny larval ticks can transmit Borrelia miyamotoi 03/25/2019 - Unlike Borrelia burgdorferi, the causative agent of Lyme disease, female ticks infected with Borrelia miyamotoi can pass the bacteria to their offspring. “Therefore, in addition to nymphs and adults, larvae can vector B. miyamotoi to wildlife and human hosts,” write the authors of a new study, “Vertical transmission rates of Borrelia miyamotoi in Ixodes scapularis […] Read More |
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Will steroid injections help children with Lyme arthritis of the knee? 03/21/2019 - Premature injection of these steroids “has been reported as a potential risk factor for the development of ARLA [antibiotic-refractory Lyme arthritis] in children and adults,” writes Horton et al. in the Journal of Rheumatology. [1] “This risk is attributed to impairment of the body’s response to infection due to local immune suppression within an infected […] Read More |
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Scientific community discounts Lyme disease patients 03/18/2019 - The authors of a new review soundly dismiss patients’ concerns regarding chronic manifestations of Lyme disease stating, “The infection annual incidence is modest (< 30,000 cases) and is not supposed to be fatal.” [2] In dismissing the possible severity of Lyme disease, Peretti-Watel and colleagues failed to take an evidence-based medicine approach (EBM), which integrates […] Read More |
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Are lone star ticks in your neighborhood? 03/11/2019 - Between 2006 and 2016, researchers received 8,608 ticks from 22 states in the U.S. [1] However, most of the ticks were collected in Monmouth County, New Jersey, where the investigators were located. Monmouth County has long been recognized as endemic for Lyme disease. Researchers found that lone star ticks accounted for nearly half (48.1%) of […] Read More |
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Autonomic dysfunction, small fiber neuropathy and Lyme disease 03/07/2019 - The retrospective study included 10 patients diagnosed with post-treatment Lyme disease syndrome, who had autonomic testing performed between 2016 and 2018 at the Brigham and Women’s Faulkner Hospital Autonomic laboratory. [1] The authors aimed to identify SFN as a possible biomarker of “PTLDS,” in addition to evaluating autonomic dysfunction associated with presumed small fiber neuropathy […] Read More |
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Northern ‘immigrant’ ticks causing concern in the South 03/03/2019 - “While questing, ticks hold onto leaves and grass by their third and fourth pair of legs. They hold the first pair of legs outstretched, waiting to climb onto the host,” according to researchers from the Centers for Disease Control and Prevention (CDC). “When a host brushes the spot where a tick is waiting, it quickly […] Read More |
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Failure rates still too high for treatment of Lyme disease 02/24/2019 - According to the authors, the 14-day course effectively cleared the patients’ erythema migrans rashes and “prevented the development of objective neurologic, cardiac, or rheumatologic manifestations.” One patient was retreated with amoxicillin. Two others could not be evaluated at 1-year follow-up due to a recurrent erythema migrans (EM) rash. But 4 out of the 24 patients […] Read More |
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Lyme-like syndrome in Brazil is still a problem 02/21/2019 - The existence of Borrelia burgdorferi s.s. in Brazil was recently confirmed by polymerase chain reaction (PCR) testing, writes Miziara in the journal Clinics (Sao Paulo). [1] The Amblyomma and Rhipicephalus genera ticks can transmit the bacteria to humans through the bite of an infected tick. In the U.S., Borrelia burgdorferi s.s. is transmitted by Ixodes scapularis […] Read More |
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Acute transverse myelitis in a 25-year-old man with Lyme disease 02/11/2019 - Acute transverse myelitis is a rare neurologic condition that leaves one-third of patients with severe neurologic disability. It is characterized by varying degrees of bilateral motor, sensory, and autonomic dysfunction. Symptoms can progress rapidly within hours or within days, explains Dumic, from Mayo Clinic and lead author of the case report “Acute transverse myelitis: A […] Read More |
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USA veterans suffer from tick-borne illnesses 02/07/2019 - They found that out of 181 patients, 32 presented with an erythema migrans rash. The Lyme disease cases were positive on a C6 peptide and confirmed with a Western blot test. The veterans exhibited: joint pain (58), myalgias and fatigue (34), headache/neck pain (27), peripheral neuropathy (14), seventh nerve palsy (5), and palpitations (2). Several […] Read More |
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Tourists visiting the United States contract Babesia, leaving one dead 02/05/2019 - The first case involved a 50-year-old woman, who was admitted to the hospital in South Korea with a fever, abdominal pain, and nausea. She had visited a forest in New Jersey four weeks earlier and had reportedly developed an erythematous lesion on her lower right calf. Two days later she developed headaches, myalgia, fever and […] Read More |
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Lyme disease manifesting as acute transverse myelitis 01/31/2019 - Clinical signs and symptoms depend on the affected region of the spinal cord, explains Kaiser and colleagues in a recently published case report, “Lyme myelopathy: Case report and literature review of a rare but treatable disorder.” [1] The causes of ATM include “demyelinating processes, infections, autoimmune disorders, malignancies, vascular insults, and nutritional deficiencies,” writes Kaiser. There […] Read More |
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Blood smear not reliable in diagnosing Borrelia miyamotoi disease 01/29/2019 - Some doctors have suggested that a blood smear should be used to confirm the diagnosis of BMD. But as Telford and colleagues demonstrate, a blood smear may not be so reliable. [1] In an effort to determine whether blood smears can detect B. miyamotoi in the blood of acute BMD patients, researchers examined sera from […] Read More |
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Erratic rapid eye jerks in a child with Lyme disease 01/25/2019 - Opsoclonus is typically due to an infectious disease or a form of cancer, known as neuroblastoma. In some cases, the cause is unknown. But the condition is rarely seen in Lyme disease patients, explains Gibaud and colleagues in the case report “Opsoclonus in a child with neuroborreliosis.” [1] In fact, only 2 cases have been […] Read More |
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Don’ t confuse somatic symptoms with depression in early Lyme disease 01/22/2019 - The 1-year prospective study included 52 adult Lyme disease patients with erythema migrans (EM) rashes. Their somatic symptoms included fatigue, headache, joint pain, muscle pain, and cognitive complaints. Individuals with the worst symptoms had the worst BDI-II scores. The BDI-II scale has been used as a screening tool for patients who might benefit from further psychological […] Read More |
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First report of Lyme disease causing mitral valve endocarditis 01/15/2019 - In March 2017, a 68-year-old man was admitted to the Mayo Clinic, in Rochester, Minnesota with symptoms suggestive of heart failure. “He had a chronic cough and progressive dyspnea, which were consistent with New York Heart Association class IV symptoms of heart failure,” writes Fatima. “He also had atrial fibrillation with rapid ventricular response.” His […] Read More |
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How the incidence of an EM rash can be inflated 01/10/2019 - Both studies, published in 1996 and 1998, required that the participants meet the Centers for Disease Control and Prevention’s (CDC) surveillance case definition for Lyme disease. This definition requires that the erythema migrans rash be at least 2 inches in diameter. But the incidence of an EM rash is lower in studies that are all-inclusive […] Read More |
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A case of Lyme carditis in Mexico 01/07/2019 - The previously healthy woman presented to the emergency room with a sudden-onset of dyspnea and chest pain. She had reported a syncopal episode 4 days prior to being admitted to the hospital. Her EKG revealed a third degree heart block. The woman, who lived in Nuevo Leon, had traveled in the past 4 weeks to […] Read More |
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Elderly Lyme disease patients more likely to have unfavorable treatment outcome 01/04/2019 - The authors reviewed the records of 1,220 young, middle-aged and elderly patients, comparing disease course and long-term outcomes for each group. The patients had been treated at an outpatient clinic at the University Medical Center Ljubljana in Slovenia. The study included 224 elderly patients, with 173 between 65-74 years old, 48 between 75-84 years old […] Read More |
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Are Lyme disease prevention methods really working? 01/01/2019 - In the article “Interventions to prevent Lyme disease in humans: A systematic review,” Richardson writes, “In general the quality of evidence was low. There were typically only 1 to 3 studies and these had mixed results. [1] Following are several personal protective measures promoted to prevent Lyme disease: Tick repellents and protective clothing: “Tick repellents and […] Read More |
Blog Posts – 2018
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Year in Review: Top 10 Lyme disease blogs for 2018 12/27/2018 - Following is a list of the most popular blogs for 2018! 1.) Lyme disease misdiagnosed as shingles in a 62-year-old man Case report: It appeared to be shingles but it was Lyme disease. 2.) More than 50% of mice in Kentucky infected with Lyme bacteria Study finds more than half of the mice in Kentucky […] Read More |
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Lyme disease no longer fits the ‘one microbe, one disease Germ Theory’ 12/20/2018 - But with the emergence of different species of spirochetes and tick-borne co-infections, the one microbe, one disease Germ Theory has fallen apart. The growing number of concurrent tick-borne infections, such as Lyme disease and Babesia, demonstrates the involvement and concern of multiple microbes. One study found that an infection with both Lyme disease and Babesia […] Read More |
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Causes for under-detection of Lyme disease in Canada 12/17/2018 - The authors estimate that the number of Lyme disease cases in Canada that go undetected is greater than the 10-fold difference in the U.S. For example, “Calculation of expected human Lyme disease cases based on tick and canine infections in New Brunswick indicates a minimum of 12.1 to 58.2-fold underestimation (1.7% to 8.3% cases detected).” […] Read More |
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Over 20% of Lyme disease patients remain ill after treatment 12/11/2018 - “Clinically, PTLDS is largely a diagnosis of exclusion, requiring documentation of prior Lyme disease, appropriate treatment, and onset of unexplained, subjective symptoms within six months after a Lyme disease diagnosis that persist for at least six months after completion of antibiotic treatment,” writes Moon from Johns Hopkins Bloomberg School of Public Health. [4] Many patients […] Read More |
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Study finds misdiagnosis and delayed diagnosis common for Lyme disease patients 12/04/2018 - A study published in Healthcare (Basel) by Johnson and colleagues [1] summarizes information provided by 3,903 individuals registered with MyLymeData. The participants reported a delay in diagnosis. “More than half (51%) reported that it took them more than three years to be diagnosed and roughly the same proportion (54%) saw five or more clinicians before […] Read More |
| Babesia remains a clinical diagnosis for some patients 12/02/2018 - In turn, investigators from ISDH and the Centers for Disease Control and Prevention (CDC) examined specimens from 14 of the patients diagnosed with Lyme disease and B. microti. They tested for Babesia infection by Giemsa-stained blood smears, PCR (polymerase chain reaction), and indirect fluorescent antibody (IFA) for total immunoglobulin to B. microti. The only clinical […] Read More |
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Lyme disease induces severe cardiac problems in 15-year-old boy 11/30/2018 - Medics found the boy to be pale, with a heart rate of 300 beats per minute and unstable regular wide complex tachyarrhythmia (WCT). He was given a dose of amiodarone but remained in ventricular tachycardia. At the hospital his blood pressure dropped to 66/30 mm Hg and his dizziness and shortness of breath worsened. “After […] Read More |
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Could race affect the diagnosis and treatment of Lyme disease? 11/27/2018 - Using data from Geisinger electronic medical records, researchers identified 9657 Lyme disease cases diagnosed between 2006 and 2014 in central and northeastern Pennsylvania. [bctt tweet=”Are African-Americans less likely to be diagnosed with Lyme disease?” username=”DrDanielCameron”] Moon and colleagues found that more than 97% of the Lyme disease patients were white non-Hispanic. Only 0.9% were Hispanic […] Read More |
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Case report: Various clinical presentations of Babesia 11/21/2018 - The woman was admitted to the emergency room with fever, chills, lethargy, fatigue, and marked changes in sensorium. Clinicians initially believed her symptoms were due to sepsis, but she was later diagnosed with concurrent Babesia and anaplasmosis. Her case demonstrates how “patients with babesiosis show a wide range of symptoms and clinical presentations,” writes Paparone. […] Read More |
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Could a blood transfusion transmit Lyme disease? 11/10/2018 - Studies have found Borrelia burgdorferi in the blood of patients with early Lyme disease using culture tests. “Borrelia are likely to be found circulating in the blood sporadically or they may persist for a time period ranging from 2 to 5 weeks and in some cases beyond this time frame,” writes Pavia, citing a 2001 […] Read More |
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How effective is Permethrin-treated clothing in preventing tick bites? 11/09/2018 - Now, a new study by Connally and colleagues examines the effectiveness of treated clothing after it is worn and washed/dried. [2] Does this impact the contact irritancy and toxicity against Ixodes scapularis nymphs? The investigators forced blacklegged ticks to be in contact with Permethrin-treated clothing for 30 to 120 seconds. They then monitored the ticks’ […] Read More |
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Southern nymphal deer ticks in hiding? 11/08/2018 - In their article “Searching for the Immature Stages of Ixodes scapularis in Leaf Litter and Soil in Texas,” Tietjen and colleagues, from Texas A&M University, speculate that nymphal ticks in the south could be in the leaf litter or in different soil layers rather than on the understory vegetation. [1] So, employing a different type […] Read More |
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Lyme disease mimics prosthetic joint infection following knee replacement 11/08/2018 - The 83-year-old man, from Pennsylvania, was admitted to the hospital, reporting pain in his knee, erythema and fever for 3 days. Upon examination, physicians noted he had “a moderate effusion and limited range of motion,” explains Collins. The patient had a total knee replacement, involving the same knee, 6 years earlier. Culture tests were negative […] Read More |
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Delayed onset of Babesia highlights importance of follow-up visits 11/04/2018 - Doctors diagnosed and treated a 67-year-old woman for early Lyme disease with a 21-day course of amoxicillin after she presented with an erythema migrans rash. (The woman was allergic to doxycycline.) Near the end of her treatment, the woman developed fevers (102.92°F), myalgias, dizziness, and fatigue. Due to concerns that she may be septic or have an […] Read More |
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Don’t be misled: patients can have both mono and Lyme disease 10/29/2018 - These conditions are typically thought to occur separately with several published reports describing each illness as mimicking the other. But a new article by Koester and colleagues details the first cases of acute Lyme and EBV infections reportedly occurring concurrently. “We describe the clinical presentation of two children with confirmed early Lyme disease and features […] Read More |
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Infected ticks prevalent in urban areas in the United Kingdom (UK) 10/26/2018 - A recent article, “Assessment of the Public Health Threats Posed by Vector-Borne Disease in the United Kingdom,” by Medlock and colleagues explores the growing concern Lyme disease poses to residents in the UK. [1] “There has been an increase in the numbers of reported human cases of Lyme disease,” writes Medlock in the International Journal […] Read More |
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First-line combination therapy for tick-borne illnesses 10/24/2018 - Typically, doxycycline is the go-to antibiotic for practitioners. It has become the favorite first-line drug for treating tick-borne illnesses. But, it’s not effective for all tick-related diseases such as Babesia. In these instances, a combination of antibiotics and/or anti-viral medications may be required. In a recent article, published in The Nurse Practitioner, Paparone discusses the […] Read More |
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Can we avoid using a pacemaker for Lyme carditis with high-degree AV block? 10/17/2018 - Identifying patients with high-degree AV block caused by Lyme carditis is imperative “to prevent the inherent risks of pacemaker implantation, such as periprocedural infections, lead dislodgement, and erosions,” the author writes. Recognizing these patients is particularly important given that Lyme carditis often impacts younger individuals, who may be at a greater risk of experiencing complications […] Read More |
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10 cases of Heartland virus reviewed 09/24/2018 - So, what do we actually know about this potentially deadly virus? Symptoms are similar to those seen with other tick-borne illnesses. Patients may experience fever, headaches, joint and muscle aches, fatigue, loss of appetite, and diarrhea. Individuals with the virus have reported becoming ill about two weeks after being bitten by a tick. There is […] Read More |
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Lyme disease remains a threat to international travelers to the US 09/19/2018 - “Despite being a top international tourist destination, few sources describe the spectrum of infectious diseases acquired among travellers to the USA,” writes Stoney in the Journal Travel Medicine. [1] Stoney, from the Centers for Disease Control and Prevention (CDC), and colleagues analyzed travel history and clinical diagnoses for non-US-resident travellers who visited GeoSentinel clinics between […] Read More |
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Citizen scientists help uncover growing risk of Babesia 09/16/2018 - An article by Nieto and colleagues, published in PLoS One, describes a study using citizen science to gather data on human exposure to ticks and tick-borne diseases. The study was conducted on a national scale between January 2016 and August 2017. “This study offers a unique and valuable perspective because it looks at risk to […] Read More |
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Doctors face challenges in diagnosing Borrelia miyamotoi 09/06/2018 - Borrelia miyamotoi, the bacteria which causes relapsing fever, is one of the latest threats. The disease was first reported in the United States in 2013 but has become increasingly more common. B. miyamotoi is carried by black-legged ticks, the same ticks that can transmit Lyme disease. One study found that 2% of nymphal ticks collected in […] Read More |
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Lyme disease causes double vision: case report 09/04/2018 - In their report, the authors describe a 69-year-old man who was admitted to the emergency room in New York City complaining of a headache and double vision. One month earlier, the man had been hiking in a rural area of New York. He did not notice a tick bite or rash. Two weeks later, he […] Read More |
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Move over nymphal ticks, larval deer ticks now pose a threat 08/30/2018 - According to investigators from the Centers for Disease Control and Prevention (CDC), larval ticks can already be infected with Borrelia miyamotoi, after they hatch from the eggs. [1] This occurs through a process called transovarially transmission in which the adult tick transmits the B. miyamotoi bacteria to its offspring by infecting the eggs in its […] Read More |
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