Review Article

In the Lymelight: Law and Clinical Practice Guidelines

Abstract:Almost from the beginning, the Ixodes scapularis and I pacificus, adult deer ticks, have been a breeding ground not only for Lyme disease, but also for political dissent. Most recently, the battleground moved into the arena of clinical practice guidelines. Both camps in the “Lyme Wars”—the Infectious Diseases Society of…

Posted in: Guidelines 10 law 2 lyme disease 3

Case Report

Southern Tick-Associated Rash Illness: Erythema Migrans Is Not Always Lyme Disease

Southern tick-associated rash illness (STARI) is a rash occurring after a tick bite. It is a form of erythema migrans, an annular rash with central clearing that is almost identical with the erythema migrans seen in Lyme disease. The etiologic agent is not known but may be a Borrelia species….

Posted in: lyme disease 3

Case Report

Musical Hallucinations in Patients with Lyme Disease

Musical hallucinations are poorly understood auditory hallucinations that occur in patients with otologic or neurologic diseases. We report the first cases of musical hallucinations in two patients with neurologic Lyme disease. Both subjects were women with clinical and laboratory evidence of chronic Lyme disease, progressive neurologic dysfunction, and abnormal magnetic…

Posted in: lyme disease 3 musical hallucinations 2
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