Mistaken Identity: Many Diagnoses are Frequently Misattributed to Lyme Disease

Lyme disease is the most common vector-borne infection in North America and Europe, commonly caused by one of three pathogenic genospecies of the spirochete Borrelia 1 2. Borrelia burgdorferi sensu stricto is transmitted solely in North America, mostlyby the tick Ixodes scapularis. The infection typically causes dermatologic, musculoskeletal, neurologic, and cardiac illnesses. Both under- and over-diagnosis of Lyme disease have been well described3 4 5. While antibiotic therapy resolves symptoms for most infected patients, some are left with persistent subjective problems such as pain, fatigue or brain fog that may fall within the proposed entity post-treatment Lyme disease syndrome 6.
Source: The American Journal of Medicine - Category: General Medicine Authors: Source Type: research

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Am Fam Physician. 2021 Dec 1;104(6):589-597.ABSTRACTSeptic arthritis must be considered and promptly diagnosed in any patient presenting with acute atraumatic joint pain, swelling, and fever. Risk factors for septic arthritis include age older than 80 years, diabetes mellitus, rheumatoid arthritis, recent joint surgery, hip or knee prosthesis, skin infection, and immunosuppressive medication use. A delay in diagnosis and treatment can result in permanent morbidity and mortality. Physical examination findings and serum markers, including erythrocyte sedimentation rate and C-reactive protein, are helpful in the diagnosis but...
Source: American Family Physician - Category: Primary Care Authors: Source Type: research
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