{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T19:28:41Z","timestamp":1780342121482,"version":"3.54.1"},"reference-count":16,"publisher":"Wiley","license":[{"start":{"date-parts":[[2021,2,13]],"date-time":"2021-02-13T00:00:00Z","timestamp":1613174400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Infectious Diseases"],"published-print":{"date-parts":[[2021,2,13]]},"abstract":"<jats:p>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.<\/jats:p>","DOI":"10.1155\/2021\/6699536","type":"journal-article","created":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T01:46:12Z","timestamp":1613526372000},"page":"1-4","source":"Crossref","is-referenced-by-count":7,"title":["Lyme Disease in the Era of COVID-19: A Delayed Diagnosis and Risk for Complications"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4924-4829","authenticated-orcid":true,"given":"Cheryl B.","family":"Novak","sequence":"first","affiliation":[{"name":"Lyme Disease Research Center, Division of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5627-919X","authenticated-orcid":true,"given":"Verna M.","family":"Scheeler","sequence":"additional","affiliation":[{"name":"Lyme Disease Research Center, Division of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2648-0896","authenticated-orcid":true,"given":"John N.","family":"Aucott","sequence":"additional","affiliation":[{"name":"Lyme Disease Research Center, Division of Rheumatology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","article-title":"Get your clinic ready for coronavirus disease 2019 (COVID-19)","author":"World Health Organisation","year":"2020"},{"key":"2","article-title":"Overview of testing for SARS-CoV-2 (COVID-19)","author":"Centers for Disease Control and Prevention","year":"2020"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.diagmicrobio.2020.115226"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.11254"},{"key":"5","article-title":"Using telehealth to expand access to essential health services during the COVID-19 pandemic","author":"Centers for Disease Control and Prevention","year":"2019"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1086\/320160"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.4081\/or.2011.e14"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.23.2617"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1038\/nrdp.2016.90"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciu411"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1038\/s41746-020-0300-0"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.3928\/01913913-20090616-17"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa1215"},{"key":"14","article-title":"Interim guidance for implementing home care of people not requiring hospitalization for coronavirus disease 2019 (COVID-19)","author":"National Center for Immunization and Respiratory Diseases","year":"2020"},{"key":"15","first-page":"1","article-title":"Will COVID-19 kill the routine physical exam?","author":"B. Lala","year":"2020","journal-title":"Scientific American"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1016\/j.compbiomed.2018.12.007"}],"container-title":["Case Reports in Infectious Diseases"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2021\/6699536.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2021\/6699536.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/criid\/2021\/6699536.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,17]],"date-time":"2021-02-17T01:46:14Z","timestamp":1613526374000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/criid\/2021\/6699536\/"}},"subtitle":[],"editor":[{"given":"Salim","family":"Surani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2021,2,13]]},"references-count":16,"alternative-id":["6699536","6699536"],"URL":"https:\/\/doi.org\/10.1155\/2021\/6699536","relation":{},"ISSN":["2090-6633","2090-6625"],"issn-type":[{"value":"2090-6633","type":"electronic"},{"value":"2090-6625","type":"print"}],"subject":[],"published":{"date-parts":[[2021,2,13]]}}}