Introduction And Purpose: The purpose of this study is to determine the prevalence of convergence insufficiency (CI) in patients who have been diagnosed with Lyme disease.
Methods And Results: This study is a retrospective review of charts from 190 patients with confirmed Lyme disease. The diagnosis of CI is based on decreased fusional convergence amplitudes at near fixation. The number of patients with CI was reviewed as well as information on patient gender, age, and symptoms. Seventy percent of patients in this study were female. Ages ranged from 4 to 80 years old. Fifty-three percent of patients with Lyme disease had CI. Symptomatic patients were treated with orthoptic exercises or vision therapy.
Conclusions: Patients diagnosed with Lyme disease seem to develop CI. Symptomatic CI associated with Lyme disease seems to respond well to conventional CI treatment.
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http://dx.doi.org/10.3368/aoj.56.1.147 | DOI Listing |
Eur J Neurol
January 2025
Department of Clinical Laboratory and Internal Medicine, National Center of Neurology and Psychiatry, Tokyo, Japan.
Background And Purpose: Clinical manifestations of Lyme borreliosis (LB), caused by Borrelia burgdorferi sensu lato (Bbsl), include erythema migrans, Lyme neuroborreliosis (LNB), carditis, and arthritis. LB is a notifiable disease in Japan with <30 surveillance-reported LB cases annually, predominately from Hokkaido Prefecture. However, LB, including LNB, may be under-diagnosed in Japan since diagnostic tests are not readily available.
View Article and Find Full Text PDFInt J Parasitol Parasites Wildl
April 2025
British Columbia Centre for Disease Control, 655 W 12th Ave, Vancouver, British Columbia, V5Z 4R4, Canada.
As per published literature, the tick is the primary Lyme disease vector in British Columbia (BC), while the tick species is the dominant vector on the East Coast of Canada, with no . presence seen in BC. However, a recent publication reported presence of in BC which initiated this study to determine the accuracy of the microscopic identification of ticks received in the BC Centre for Disease Control (BCCDC) Public Health Laboratory and compare morphologic methods to molecular methods.
View Article and Find Full Text PDFJ Emerg Med
August 2024
Department of Emergency Medicine, University of Kentucky, Lexington, Kentucky.
Background: Lyme disease is the most common tick-borne illness in the United States, and cases of Lyme disease have nearly doubled since the early 2000s. Symptoms and presentation vary based on severity of illness, with more serious complications of disease consisting of neurologic and cardiac dysfunction. Testing is often unreliable, which can lead to delayed diagnosis and management.
View Article and Find Full Text PDFLancet Child Adolesc Health
January 2025
Department of Infectious Diseases, Alder Hey Children's NHS Foundation Trust, Liverpool, UK; Department of Clinical Infection, Microbiology, and Immunology, Institute of Infection, Veterinary, and Ecological Sciences, University of Liverpool, Liverpool, UK. Electronic address:
Background: Procalcitonin is a rapid response biomarker specific for bacterial infection, which is not routinely used in the UK National Health Service. We aimed to assess whether using a procalcitonin-guided algorithm would safely reduce the duration of antibiotic therapy compared with usual care, in which C-reactive protein is the commonly used biomarker.
Methods: The BATCH trial was a pragmatic, multicentre, open-label, parallel, two-arm, individually randomised, controlled trial conducted in 15 hospitals in England and Wales.
Int J Mol Sci
December 2024
Department of Genetics and Genomics, Institute of Biology, University of Szczecin, Wąska 13, 71-415 Szczecin, Poland.
The western European hedgehog () and the northern white-breasted hedgehog () are natural hosts of the tick , the vector of tick-borne pathogens such as the bacteria responsible for Lyme disease. The aim of this study was to identify these pathogens in ticks collected from hedgehogs in northwestern Poland and to assess their genetic diversity by molecular analysis of the detected pathogens based on the gene and the intergenic spacer. Among 101 hedgehogs examined, 737 ticks were found on 56 (55.
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