Lyme Disease in the Era of COVID-19: A Delayed Diagnosis and Risk for Complications

We describe a patient with fever and myalgia who did not have COVID-19 but instead had Lyme disease. We propose that the co-occurrence of COVID-19 and Lyme disease during the spring of 2020 resulted in a delayed diagnosis of Lyme disease due to COVID-19 pandemic-related changes in healthcare workflo...

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Main Authors: Cheryl B. Novak, Verna M. Scheeler, John N. Aucott
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Infectious Diseases
Online Access:http://dx.doi.org/10.1155/2021/6699536
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author Cheryl B. Novak
Verna M. Scheeler
John N. Aucott
author_facet Cheryl B. Novak
Verna M. Scheeler
John N. Aucott
author_sort Cheryl B. Novak
collection DOAJ
description We describe a patient with fever and myalgia who did not have COVID-19 but instead had Lyme disease. We propose that the co-occurrence of COVID-19 and Lyme disease during the spring of 2020 resulted in a delayed diagnosis of Lyme disease due to COVID-19 pandemic-related changes in healthcare workflow and diagnostic reasoning. This delayed diagnosis of Lyme disease in the patient we describe resulted in disseminated infection and sixth nerve palsy. We present the use of telemedicine to aid in the diagnosis of Lyme disease and to provide prompt access to diagnosis and care during the ongoing COVID-19 pandemic and in the future.
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spelling doaj-art-7557b023a10b45018b2a689e0b2dba692025-02-03T06:43:34ZengWileyCase Reports in Infectious Diseases2090-66252090-66332021-01-01202110.1155/2021/66995366699536Lyme Disease in the Era of COVID-19: A Delayed Diagnosis and Risk for ComplicationsCheryl B. Novak0Verna M. Scheeler1John N. Aucott2Lyme Disease Research Center, Division of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USALyme Disease Research Center, Division of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USALyme Disease Research Center, Division of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USAWe describe a patient with fever and myalgia who did not have COVID-19 but instead had Lyme disease. We propose that the co-occurrence of COVID-19 and Lyme disease during the spring of 2020 resulted in a delayed diagnosis of Lyme disease due to COVID-19 pandemic-related changes in healthcare workflow and diagnostic reasoning. This delayed diagnosis of Lyme disease in the patient we describe resulted in disseminated infection and sixth nerve palsy. We present the use of telemedicine to aid in the diagnosis of Lyme disease and to provide prompt access to diagnosis and care during the ongoing COVID-19 pandemic and in the future.http://dx.doi.org/10.1155/2021/6699536
spellingShingle Cheryl B. Novak
Verna M. Scheeler
John N. Aucott
Lyme Disease in the Era of COVID-19: A Delayed Diagnosis and Risk for Complications
Case Reports in Infectious Diseases
title Lyme Disease in the Era of COVID-19: A Delayed Diagnosis and Risk for Complications
title_full Lyme Disease in the Era of COVID-19: A Delayed Diagnosis and Risk for Complications
title_fullStr Lyme Disease in the Era of COVID-19: A Delayed Diagnosis and Risk for Complications
title_full_unstemmed Lyme Disease in the Era of COVID-19: A Delayed Diagnosis and Risk for Complications
title_short Lyme Disease in the Era of COVID-19: A Delayed Diagnosis and Risk for Complications
title_sort lyme disease in the era of covid 19 a delayed diagnosis and risk for complications
url http://dx.doi.org/10.1155/2021/6699536
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AT vernamscheeler lymediseaseintheeraofcovid19adelayeddiagnosisandriskforcomplications
AT johnnaucott lymediseaseintheeraofcovid19adelayeddiagnosisandriskforcomplications