Explore the latest in TBI, including information about emerging infections and updates on Lyme disease, babesiosis, anaplasmosis, and more.
A 24-year-old farmworker had 3 weeks of persistent fever and worsening polyarthralgias, and maculopapular truncal rash that spread to her palms and soles. Results of laboratory tests were normal except for a mildly elevated WBC count and a blood culture gram stain showing filamentous gram-negative rods. What would you do next?
This network meta-analyses of 19 randomized clinical trials conducted in the United States and Europe examines antibiotic agents and treatment modalities to assess treatment effectiveness and drug-related adverse outcomes in early cutaneous Lyme borreliosis.
This cohort study compares the development and treatment outcome of disease among European patients with Lyme borreliosis manifested as either multiple erythema migrans or as erythema migrans as well as controls without a history of the disease.
This Viewpoint provides a clinical update on Lyme disease, reviewing information on the epidemiology, diagnosis, and treatment of the infection, and discussing the role of Lyme testing in the evaluation of chronic pain and fatigue.
This case report highlights the diagnostic challenges and neuropathological findings in a fatal case of Powassan encephalitis caused by deer tick virus (lineage II) in a patient with follicular lymphoma receiving rituximab.
This Teachable Moment describes the case of a woman who developed DRESS syndrome after unnecessary treatment for “chronic Lyme disease.”
This Medical Letter review summarizes the efficacy and safety of commercially available insect repellents to prevent Zika virus infection and other mosquito and tickborne diseases.
This Medical Letter review summarizes antibiotic regimens to treat the dermatological, neurological, cardiac, and rheumatological manifestations of Lyme disease.
A man in his 50s presented with redness, foreign body sensation, and tearing in the left eye after a hike the previous day. What would you do next?
This narrative review summarizes published evidence about the diagnosis, treatment, and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis.
A 10-year-old girl’s 2.0-cm annular lesion on the neck persists following 10 days of antifungal therapy, and she undergoes serologic testing for Lyme disease, which shows equivocal enzyme immunoassay results and negative immunoblots. How do you interpret results?
This study demonstrates the development of itchy erythematous papules and vesicles within 48 hours of larval Amblyomma americanum (lone star tick) attachment to human volunteers.
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