Author: Dr. Daniel Cameron
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Diagnosing Lyme arthritis of the hip in children
“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…
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Case review: 80-year-old with Lyme encephalopathy instead of dementia
“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…
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Anaplasmosis in the brain
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…
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Lyme disease and the heart, when AV block progresses rapidly
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…
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Lumbar puncture not all that helpful for diagnosing Lyme neuroborreliosis?
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…
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Tick bite leads to Guillain-Barré Syndrome
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…
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Co-infections Babesiosis and Lyme disease, missed diagnosis can have “dire consequences”
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…
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Top 10 Podcasts for 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…
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Top 10 Lyme disease blogs for 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…
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Lyme arthritis in children can present throughout the year
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…