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 […]
“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 […]
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, […]
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 […]
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 […]
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 […]
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, […]
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 – […]
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 […]
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 […]
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.” […]
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 […]
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 […]
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 […]
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 […]
