Posts tagged Lyme Disease
Tick Bite Tachycardia

The patient is a 61 year old male with a past medical history notable for hypertension, who presented for evaluation after a syncopal episode.  The patient reported ongoing headaches for the past two days that persisted despite over the counter medications. The headache was not sudden onset or thunderclap. He denied numbness, weakness or visual changes. He also had a poor appetite.  The patient denied trauma or head injury and was not on anticoagulation medication. 

Read More
Disseminated Lyme

A 33-year-old male presents to the ED with ongoing left lower extremity pain and a few days of malaise. He has a history of bipolar I disorder, as well as chronic alcohol, tobacco and marijuana use. He first presented to his primary care doctor six days ago with erythema and pain over the left medial malleolus. At that time he had no other symptoms and physical exam was otherwise unremarkable. He was treated for presumed cellulitis with doxycycline, which he took at half of the prescribed dose due to a miscommunication with his doctor…

Read More