Ischemic Stroke With Hemorrhagic Conversion in a Case of Lyme Neuroborreliosis
Lyme disease is an infectious tick-borne illness predominant in northeastern and midwestern United States. The clinical presentation varies significantly and only a few cases develop Lyme neuroborreliosis (LNB), which makes diagnosis difficult. A 59-year-old male visiting from Michigan presented to a hospital in Florida with an ischemic stroke with aphasia and acute confusion for two days. He had imaging that noted a subacute infarct in the left parietal lobe along with multiple areas of white matter signal abnormalities and CSF serology positive for Borrelia burgdorferi IgM and IgG antibodies. The patient was placed on ceftriaxone for 30 days and showed significant clinical improvement. We present a case of ischemic stroke with hemorrhagic conversion and an incidental finding of LNB.
There is no way on earth that only a few cases develop Lyme neuroborrliosis. This statement shows the researcher’s complete disconnect from reality.
Testing is so abysmal, thousands fall through the diagnostic crack. Then, if they manage to win the lottery and test positive, they are told it’s a “false positive,” and to “go home and be well.”
This patient in fact did win the lottery and managed to get diagnosed in Florida, which like all Southern states has had to fight tooth and nail to get public health to even recognize it. And that probably wouldn’t have happened if it weren’t for infected researcher, Kerry Clark, who is finding Southern borrelia strains that will never be picked up in a million years using current CDC two-tier testing. He also showed DNA of Bbsl in Lone Star ticks which might be a bridge vector of transmission to humans, but is still considered by ‘the powers that be’ to not transmit Lyme disease. Instead, infected Southerners have been told they have STARI, a disease that looks, acts, and smells just like Lyme.
This patient, despite showing significant improvement, requires follow-up which will never happen. If and when symptoms reappear he will simply be told it’s all “in his head.”