ABSTRACT A 32-year-old male experiencing extreme fatigue and low-grade fever visited
his general practitioner weeks after his initial symptoms. The patient assumed the symptoms …

A 35-year-old man with a 12-month history of fatigue is concerned about Lyme disease. He
has not lived in or travelled to a Lyme endemic area. His physical examination and blood …

Lyme disease is the most commonly reported vector-borne illness in North America, with
more than 30,000 confirmed and probable cases annually. 1 Based on recent estimates, it is …

A 50-year-old woman from Pulaski, Virginia, presented to a local clinic with headaches,
fever, generalized joint pain, excessive thirst and fluid intake, and a progressing rash on her …

The man had not travelled outside the area and only reported taking walks in the local park.
He did not notice any tick bites. At the time of his initial examination,“he denied headaches …

Preview Although physicians rely on serologic testing to diagnose Lyme disease because
the classic rash is not always present or noted, available assays have several limitations. Dr …

BACKGROUND Lyme disease is the most common vector-borne infection in North America
and Europe, caused by one of the 3 common pathogenic genospecies of the spirochete …

University, first discovered Lyme disease when a strange cluster of cases occurred among
families in the area of Lyme, Conn, during the summer of 1976, medical scientists have …

Lyme disease (or Lyme borreliosis) is a common tick-borne disease in temperate regions of
North America, Europe, and Asia. This zoonotic spirochetal infection ranges in severity from …

In 1982, the spirochetal agent of Lyme disease, later named Borrelia burgdorferi, was
identified in and cultured from Ixodes scapularis ticks. 1 Shortly thereafter, it was cultured …