Lyme disease has 'dominated' my life
Morven-May MacCallum speaks out as GPs are urged to be vigilant about the infection spread by ticks.
The “Christmas tree” orientation of scaling lesions along the skin tension (Langer) lines in pityriasis rosea is well known. This pattern is best appreciated on complete examination of the trunk, in which the eruption follows the long axis of the V-shaped lines of the upper chest and back, emanating around the axillae, and running transversely along the abdominal wall and lower back. Secondary syphilis has a similar presentation. When patients present with asymptomatic, larger, nonscaling patches along Langer lines, another condition deserves diagnostic consideration.
This quality standard covers diagnosing and managing Lyme disease in people of all ages. It also includes raising public awareness about prevention. It describes high-quality care in priority areas for improvement. It was published in July 2019.
People presenting erythema migrans, the characteristic skin rash associated with Lyme disease, can be diagnosed and treated without the need for blood tests, NICE has said in a final quality standard published this week.
The American Lyme Disease Foundation is dedicated to the prevention, diagnosis, and treatment of Lyme disease which, in the United States, has been defined historically as a tick-borne bacterial infection caused by the spirochete, Borrelia burgdorferi sensu stricto. Through its website, the Foundation plays a major role in providing reliable and scientifically accurate information to the public, medical community and various public health agencies about Lyme disease and its impact on human health.
Vector-Borne and Zoonotic Diseases, Ahead of Print.
This study demonstrates the effect of only simultaneous infection by B. burgdorferi and B. microti on each pathogen, immune response and on disease manifestations with respect to infection by the spirochete and the parasite. In our future studies, we will examine the overall effects of sequential infection by these pathogens on host immune responses and disease outcomes.
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AbstractExogenous anabolic androgen steroid use is associated with adverse cardiovascular outcomes. A 53 ‐year‐old bodybuilder presented with 3 months of exertional dyspnoea. Physical examination showed tachycardia and pan‐systolic murmur; an echocardiogram showed a left ventricular ejection fraction (EF) of 15%. Evaluations included normal coronary angiogram, iron panel and thyroid studies, a n egative viral panel (human immunodeficiency virus, Lyme disease, and hepatitis), and urine toxicology. He admitted to intramuscular anabolic steroid use; his testosterone level was 30 160.0 ng/dL (normal 280&nd...
Publication date: Available online 3 July 2019Source: Ticks and Tick-borne DiseasesAuthor(s): Sergio A. Zanzani, Sara G. Rimoldi, MariaTeresa Manfredi, Romualdo Grande, Alessia L. Gazzonis, Stefania Merli, Emanuela Olivieri, Vania Giacomet, Spinello Antinori, Giuliana Cislaghi, Giovanna Bestetti, Katiuscia Nan, Vittorio Sala, Maria R. Gismondo, Chiara Atzori, Eleonora De FaveriAbstractLyme borreliosis cases have been reported from Lombardy in northern Italy, where Ixodes ricinus is the main vector of Borrelia burgdorferi sensu lato. However, spatial and temporal variation in the incidence of Lyme borreliosis is not well un...
Date: Thursday, 08 01, 2019; Speaker: Mollie W. Jewett, Ph.D., Associate Professor, Division Head of Immunity and Pathogenesis, University of Central Florida College of Medicine; 33/1N09