Published cases continued

Cases 21: 23 children with Lyme disease. Acute arthritis in 5 children with 3 involving the knee. Neurologic involvement in 39% of cases Pubmed

Cases 22: Bell's palsy (unilateral or bilateral), aseptic meningitis, chronic fatigue syndrome, atypical radiculoneuropathy, presenile dementia, atypical myopathy, or symptoms of atypical rheumatoid arthritis Pubmed

Cases 23: "9 developed widespread musculoskeletal pain, tender points, dysesthesias, memory difficulties, and debilitating fatigue a mean duration of 1.7 months after early Lyme disease" Pubmed

Cases 24: 12 cases with encephalopathy, meningitis, or focal CNS disease confirmed by antibodies in the spinal fluid Pubmed

Cases 25: 8 children with neurologic features included headache (6), behavioral changes (5),

 

facial palsy (2), papilledema (2), papilledema with diplopia (1), disturbance of sleep pattern (2), and carpal tunnel syndrome. Pubmed

Cases 26: Two of 26 different B. burgdorferi sensu lato strains involved in Lyme disease are identifed as different genospecies (B. garinii and B. afzelii genospecies). Pubmed

Cases 27: Trial of Doxycyline 300 to 400 mg. per day and Amoxicilline 500 to 1000 mg three times a day may be effective followed by intravenous if oral antibiotics fail Pubmed

Cases 28: "Approximately 10% of patients with Lyme disease in southern New England are coinfected with babesiosis [and Lyme disease] in sites where both diseases are zoonotic" 50% of coinfected patients were symptomatic for 3 months or longer. Coinfected patients were more likely to report fatigue, headache, sweats, chills, anorexia, emotional lability, nausea, conjunctivitis, and splenomegaly. Pubmed

 

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