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Practice

A 4-year-old boy with ataxia and aphasia

Robert L. Myette, Jenna Webber, Hannah Mikhail and Kirk Leifso
CMAJ May 25, 2020 192 (21) E578-E582; DOI: https://doi.org/10.1503/cmaj.191279
Robert L. Myette
Departments of Pediatrics (Myette, Leifso) and Public Health (Webber, Mikhail), Queen’s University at Kingston Health Sciences Centre, Kingston, Ont.
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Jenna Webber
Departments of Pediatrics (Myette, Leifso) and Public Health (Webber, Mikhail), Queen’s University at Kingston Health Sciences Centre, Kingston, Ont.
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Hannah Mikhail
Departments of Pediatrics (Myette, Leifso) and Public Health (Webber, Mikhail), Queen’s University at Kingston Health Sciences Centre, Kingston, Ont.
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Kirk Leifso
Departments of Pediatrics (Myette, Leifso) and Public Health (Webber, Mikhail), Queen’s University at Kingston Health Sciences Centre, Kingston, Ont.
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  • RE: A 4-year old boy with ataxia and aphasia
    Jim M Wilson [25 years of researching Lyme disease]
    Posted on: 27 May 2020
  • Posted on: (27 May 2020)
    Page navigation anchor for RE: A 4-year old boy with ataxia and aphasia
    RE: A 4-year old boy with ataxia and aphasia
    • Jim M Wilson [25 years of researching Lyme disease], retired, Canadian Lyme Disease Foundation

    Important points to ponder... Lyme disease is a borreliosis, multiple rashes as opposed to a single 'bull's eye' well defined rash are being dismissed Canada-wide as indicated in our daily calls and emails. In fact most people with Lyme disease get no rash and research has shown that only a small subset of the genotypes within the genus borrelia will cause any rash. We do not test in Canada for all the known borrelial infections. It is foolhardy to include the requirement to have been in a 'known endemic area' for a diagnosis when it has been know for over two decades that the ticks that transmit Lyme disease are transmitted randomly in the millions each season by migratory birds anywhere in Canada. Canadian researcher John Scott has published over 20 papers on this yet no physicians that we can find have been given this data. Rural communities including First Nations communities are greatly affected but not counted because of their low population density as only the higher density areas close to major universities are actively studied for Lyme disease infected ticks, rodents, and maybe birds. Many misdiagnoses are given at great cost to the individuals, their families, and to our health care system nation-wide.

    Competing Interests: None declared.

    References

    • Robert L. Myette, Jenna Webber, Hannah Mikhail, et al. A 4-year-old boy with ataxia and aphasia. CMAJ 2020;192:E578-E582.
    • http://www.canlyme.com/wp-content/uploads/2018/10/healthcare-06-00125.pdf
    • https://canlyme.com/2018/08/02/far-reaching-dispersal-of-borrelia-burgdorferi-sensu-lato-infected-blacklegged-ticks-by-migratory-songbirds-in-canada/
    • https://canlyme.com/2015/05/31/infection-prevalence-of-borrelia-burgdorferi-in-ticks-collected-from-songbirds-in-far-western-canada/
    • https://canlyme.com/2014/10/19/assessing-the-contribution-of-songbirds-to-the-movement-of-ticks-and-borrelia-burgdorferi-in-the-midwestern-united-states-during-fall-migration/
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Canadian Medical Association Journal: 192 (21)
CMAJ
Vol. 192, Issue 21
25 May 2020
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A 4-year-old boy with ataxia and aphasia
Robert L. Myette, Jenna Webber, Hannah Mikhail, Kirk Leifso
CMAJ May 2020, 192 (21) E578-E582; DOI: 10.1503/cmaj.191279

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A 4-year-old boy with ataxia and aphasia
Robert L. Myette, Jenna Webber, Hannah Mikhail, Kirk Leifso
CMAJ May 2020, 192 (21) E578-E582; DOI: 10.1503/cmaj.191279
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