Lyme disease leads to muscle weakness of the leg and constipation
Daniel Cameron
by Dr. Daniel Cameron
1w ago
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 visited three other medical centers for evaluation of his abdominal pain. However, a colonoscopy and CT scan of the abdomen did not explain the severity of the patient’s symptoms. The rash manifest as a “patchy, pruritic redness with pustules, which was particularl ..read more
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Lyme disease causes diaphragm paralysis, resulting in breathing problems
Daniel Cameron
by Dr. Daniel Cameron
2w ago
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 of probable Lyme neuroborreliosis.” Patients with this condition experience weakness of the diaphragm and “have reduced breathing capabilities or are unable to control their voluntary breathing. They also have difficulty maintaining adequate ..read more
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Lyme-induced cardiac problems persist despite antibiotic treatment
Daniel Cameron
by Dr. Daniel Cameron
2w ago
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 was admitted to an intensive cardiac care unit,” the authors state. During hospitalization, cardiac monitoring revealed several asymptomatic episodes of paroxysmal AV block, including second-degree Mobitz I AV block, second de ..read more
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Case report: Meningitis secondary to Lyme disease
Daniel Cameron
by Dr. Daniel Cameron
3w ago
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 for normal pressure hydrocephalus relieved his symptoms. On the fourth day of hospitalization, the man tested positive for Lyme disease by Western blot on bands 23KD and 39KD. “Healthcare providers treating patients wit ..read more
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Lyme disease triggers autoimmune disease – Lupus
Daniel Cameron
by Dr. Daniel Cameron
1M ago
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 system to [Borrelia] spirochetes can contribute to the development of [a new onset] chronic autoimmune disease.” This case report describes a 35-year-old woman who developed pain in the joints of her hand, episodes of low-gr ..read more
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Vision problems in patient with Lyme disease and giant cell arteritis
Daniel Cameron
by Dr. Daniel Cameron
1M ago
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 of vision and other vision problems can be caused by a variety of medical conditions including an autoimmune disorder known as giant cell arteritis (GCA). This is a type of vasculitis whereby certain arteries, particularly those near the temples, become infla ..read more
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Inside look at Lyme disease in Canada
Daniel Cameron
by Dr. Daniel Cameron
1M ago
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 provinces over time,” states Murison. Common manifestations A single EM rash was the most common manifestation (76%) reported by Lyme disease patients. Lyme arthritis was the second most reported manifestation ..read more
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ALS and MS suspected in woman later diagnosed with Bartonella and Lyme disease
Daniel Cameron
by Dr. Daniel Cameron
2M ago
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 sensation. One day after the bite, a large blue ring appeared around the bite and the woman developed muscle aches and pains. The woman was treated with doxycycline for two weeks, which decreased but did not resolve the arthritic pain. F ..read more
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Rocky Mountain Spotted Fever in Pregnancy
Daniel Cameron
by Dr. Daniel Cameron
2M ago
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 not notice a rash or tick bite. “This is the first case to our knowledge to report RMSF in pregnancy without a significant rash or tick history,” the authors state. The woman was treated for atypical HELLP syndrome, a life-threatening pregnancy complication usua ..read more
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Babesia infection triggers autoimmune blood cell disorder
Daniel Cameron
by Dr. Daniel Cameron
2M ago
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 the hospital with fatigue, lightheadedness, joint pain in his shoulder and hips, and stomach discomfort that had been ongoing for 2 weeks. He also reported having difficulty urinating, one episode of chills and pain in his lower left back. Bleik and colle ..read more
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