LYME DISEASEABOUT USPATIENTSRESEARCHEDUCATIONTREATMENTQ FEVER Lyme Disease. Lyme disease is an illness caused by the bacterium Borrelia burgdorferi. The disease is transmitted to humans through the bite of infected blacklegged ticks. Lyme Disease.

TREATMENT OPTIONS

Ceftriaxone is a third generation cephalosporin and, like other cephalosporins, is bacteriocidal. Individuals with neurologic Lyme disease, cardiac Lyme disease, or Lyme arthritis that hasn’t responded well to oral antibiotic treatment will often be given intravenous ceftriaxone. CURRENT RESEARCH STUDIES This new study aims to investigate individuals experiencing persistent pain that was triggered by Lyme Disease. By utilizing brain imaging (functional MRI), we hope to gain a better understanding of why patients have ongoing problems with persistent pain, fatigue,

CHRONIC SYMPTOMS

The medical community acknowledges that approximately 5-20% of patients may have chronic symptoms after getting Lyme disease, often ones that are quite disabling . Whatever one calls it, the experience is the same. Most often these patients experience profound fatigue, pain, and/or cognitive impairment. Mild to moderate levels of

depression and

COHEN CENTER FOR HEALTH AND RECOVERY FROM LYME AND TICK The Gift. The Cohen Center for Health and Recovery from Tick-Borne Diseases, supported by a $16 million gift from the Steven and Alexandra Cohen Foundation, will be the first in New York City to offer dedicated evaluation and treatment for people with acute and chronic forms of Lyme and related diseases. The gift also establishes

a new national

BARTONELLOSIS

FAQ | LYME DISEASE

The emotional would include feeling guilty, hopeless, suicidal, and being unable to enjoy life in any aspect. Chronic symptoms triggered by Lyme disease are most often associated with insomnia or hypersomnia, fatigue, headaches, pain, and, not uncommonly, problems with cognition as well.

TICK PARALYSIS

Tick paralysis is caused by the exposure to a neurotoxin released by tick salivary glands during a bite. The most common vectors are the American dog tick and the Rocky Mountain wood tick. Most common infection locations are the Pacific Northwest, Rocky Mountain states, and southeastern part of

ANAPLASMOSIS

ALPHA-GAL MEAT ALLERGY Alpha-Gal Meat Allergy. Alpha-gal allergy is a syndrome that was first described in 2009 as a delayed anaphylaxis to red meat, specifically an excessive IgE antibody response to an oligosaccharide epitope, galactose-alpha-1,3-galactose. This reaction typically occurs about

three to

LYME DISEASEABOUT USPATIENTSRESEARCHEDUCATIONTREATMENTQ FEVER Lyme Disease. Lyme disease is an illness caused by the bacterium Borrelia burgdorferi. The disease is transmitted to humans through the bite of infected blacklegged ticks. Lyme Disease.

TREATMENT OPTIONS

Ceftriaxone is a third generation cephalosporin and, like other cephalosporins, is bacteriocidal. Individuals with neurologic Lyme disease, cardiac Lyme disease, or Lyme arthritis that hasn’t responded well to oral antibiotic treatment will often be given intravenous ceftriaxone. CURRENT RESEARCH STUDIES This new study aims to investigate individuals experiencing persistent pain that was triggered by Lyme Disease. By utilizing brain imaging (functional MRI), we hope to gain a better understanding of why patients have ongoing problems with persistent pain, fatigue,

CHRONIC SYMPTOMS

The medical community acknowledges that approximately 5-20% of patients may have chronic symptoms after getting Lyme disease, often ones that are quite disabling . Whatever one calls it, the experience is the same. Most often these patients experience profound fatigue, pain, and/or cognitive impairment. Mild to moderate levels of

depression and

COHEN CENTER FOR HEALTH AND RECOVERY FROM LYME AND TICK The Gift. The Cohen Center for Health and Recovery from Tick-Borne Diseases, supported by a $16 million gift from the Steven and Alexandra Cohen Foundation, will be the first in New York City to offer dedicated evaluation and treatment for people with acute and chronic forms of Lyme and related diseases. The gift also establishes

a new national

BARTONELLOSIS

FAQ | LYME DISEASE

The emotional would include feeling guilty, hopeless, suicidal, and being unable to enjoy life in any aspect. Chronic symptoms triggered by Lyme disease are most often associated with insomnia or hypersomnia, fatigue, headaches, pain, and, not uncommonly, problems with cognition as well.

TICK PARALYSIS

Tick paralysis is caused by the exposure to a neurotoxin released by tick salivary glands during a bite. The most common vectors are the American dog tick and the Rocky Mountain wood tick. Most common infection locations are the Pacific Northwest, Rocky Mountain states, and southeastern part of

ANAPLASMOSIS

ALPHA-GAL MEAT ALLERGY Alpha-Gal Meat Allergy. Alpha-gal allergy is a syndrome that was first described in 2009 as a delayed anaphylaxis to red meat, specifically an excessive IgE antibody response to an oligosaccharide epitope, galactose-alpha-1,3-galactose. This reaction typically occurs about

three to

PATIENTS | LYME DISEASE Patients come to our Lyme Center to participate in research to identify better treatments, blood tests, or biomarkers. Others come for a "Second Opinion" to clarify their diagnosis or treatment plan. DIAGNOSIS | LYME DISEASE Diagnosis of Lyme disease is made through a clinical decision making process that includes a medical history, physical exam, review of past diagnostic tests and consultations, and results from newly ordered tests. In early Lyme disease, one can make the diagnosis of Lyme disease with near 100% certainty when the expanding red rash is

present.

SIGNS AND SYMPTOMS

Lyme meningitis symptoms consist of headache, neck stiffness, nausea, vomiting, light sensitivity and/or fever. Specifically, meningitis is the inflammation of the membranes covering the brain and spinal cord. A lumbar puncture or spinal tap is a helpful test to correctly diagnose Lyme meningitis. In Lyme meningitis, the cerebrospinal fluid CURRENT RESEARCH STUDIES This new study aims to investigate individuals experiencing persistent pain that was triggered by Lyme Disease. By utilizing brain imaging (functional MRI), we hope to gain a better understanding of why patients have ongoing problems with persistent pain, fatigue, CONTACT | LYME DISEASE 1051 Riverside Drive. Unit 69. New York, NY 10032. United States. 646-774-7503. lymecenter@cumc.columbia.edu. (link sends e-mail) Open location in Google Maps. Please understand that although we certainly have considerable expertise in Lyme disease, we cannot make clinical recommendations over the phone or through email about patients we have COHEN CENTER FOR HEALTH AND RECOVERY FROM LYME AND TICK The Gift. The Cohen Center for Health and Recovery from Tick-Borne Diseases, supported by a $16 million gift from the Steven and Alexandra Cohen Foundation, will be the first in New York City to offer dedicated evaluation and treatment for people with acute and chronic forms of Lyme and related diseases. The gift also establishes

a new national

GET A SECOND OPINION Second Opinion Evaluation Service ***Please note that during this COVID-19 situation, we will be doing all appointments through telehealth. These appointments will be done over video conferencing and we are happy to go into more details with you over the phone to decide if this is the right option for you. TICK-BORNE ENCEPHALITIS Overview. Belonging to the genus Flavivirus, tick-borne encephalitis (TBE) is transmitted by the bite of an infected arthropod, specifically mosquitoes and ticks. The highest number of cases lie in Eastern Europe and Russia. Ixodes ricinus is the tick vector for both tick-borne encephalitis as well as Lyme disease in Europe, therefore

BORRELIA MIYAMOTOI

Overview. Borrelia miyamotoi was discovered in 1995 in Japan, but didn't make an appearance in North America until 2013. The bite of the Ixodes tick species is responsible for transmitting Borrelia miyamotoi, just as it is responsible for Lyme disease, babesiosis, and

anaplasmosis.

FIRST MULTIPLEX TEST FOR TICK-BORNE DISEASES REPORTED IN Led by Rafal Tokarz, PhD, and Ian Lipkin, MD, at the Center for Infection and Immunity at Columbia University’s Mailman School of Public Health, this research team developed a new blood test that has the potential to revolutionize the diagnosis of eight tick-borne diseases. Details of the test, called the Tick-Borne Disease Serochip (TBD Serochip), were reported in the journal Nature LYME DISEASEABOUT USPATIENTSRESEARCHEDUCATIONTREATMENTQ FEVER Lyme Disease. Lyme disease is an illness caused by the bacterium Borrelia burgdorferi. The disease is transmitted to humans through the bite of infected blacklegged ticks. Lyme Disease.

TREATMENT OPTIONS

Ceftriaxone is a third generation cephalosporin and, like other cephalosporins, is bacteriocidal. Individuals with neurologic Lyme disease, cardiac Lyme disease, or Lyme arthritis that hasn’t responded well to oral antibiotic treatment will often be given intravenous ceftriaxone. DIAGNOSIS | LYME DISEASECEREBROSPINAL FLUID TESTSPATIENTS WITH NEUROLOGIC SYMPTOMS SUGGESTIVE OF CENTRAL NERVOUS SYSTEM INVOLVEMENT SHOULD HAVE A LUMBAR PUNCTURE WITH DETERMINATION OF OPENING PRES...EMG/NERVE CONDUCTION STUDIESELECTROMYOGRAPHY (EMG) AND NERVE CONDUCTION STUDIES ASSESS THE INTEGRITY AND FUNCTION OF MUSCLE AND NERVE, RESPECTIVELY. THE EMG TEST ALLOWS THE NE...NEUROPSYCHOLOGICAL TESTINGCOMPREHENSIVE COGNITIVE ASSESSMENTS ARE VALUABLE FOR SEVERAL REASONS: 1. THEY PROVIDE AN OBJECTIVE MEASURE OF THE PERSON'S COGNITIVE FUNCTIONING AT... Diagnosis of Lyme disease is made through a clinical decision making process that includes a medical history, physical exam, review of past diagnostic tests and consultations, and results from newly ordered tests. In early Lyme disease, one can make the diagnosis of Lyme disease with near 100% certainty when the expanding red rash is

present.

CHRONIC SYMPTOMS

The medical community acknowledges that approximately 5-20% of patients may have chronic symptoms after getting Lyme disease, often ones that are quite disabling . Whatever one calls it, the experience is the same. Most often these patients experience profound fatigue, pain, and/or cognitive impairment. Mild to moderate levels of

depression and

CURRENT RESEARCH STUDIES This new study aims to investigate individuals experiencing persistent pain that was triggered by Lyme Disease. By utilizing brain imaging (functional MRI), we hope to gain a better understanding of why patients have ongoing problems with persistent pain, fatigue, COHEN CENTER FOR HEALTH AND RECOVERY FROM LYME AND TICK The Gift. The Cohen Center for Health and Recovery from Tick-Borne Diseases, supported by a $16 million gift from the Steven and Alexandra Cohen Foundation, will be the first in New York City to offer dedicated evaluation and treatment for people with acute and chronic forms of Lyme and related diseases. The gift also establishes

a new national

HEARTLAND VIRUS

Overview. Transmitted by the lone star tick bite, the Heartland virus or Bunyaviridae was discovered in 2009. Reports of this disease have come from Missouri, Tennessee, and Oklahoma. When testing animals in Missouri — specifically raccoons and deer — approximately 60 percent were found to have been exposed to Heartland virus.

ANAPLASMOSIS

BARTONELLOSIS

ALPHA-GAL MEAT ALLERGY Alpha-Gal Meat Allergy. Alpha-gal allergy is a syndrome that was first described in 2009 as a delayed anaphylaxis to red meat, specifically an excessive IgE antibody response to an oligosaccharide epitope, galactose-alpha-1,3-galactose. This reaction typically occurs about

three to

LYME DISEASEABOUT USPATIENTSRESEARCHEDUCATIONTREATMENTQ FEVER Lyme Disease. Lyme disease is an illness caused by the bacterium Borrelia burgdorferi. The disease is transmitted to humans through the bite of infected blacklegged ticks. Lyme Disease.

TREATMENT OPTIONS

Ceftriaxone is a third generation cephalosporin and, like other cephalosporins, is bacteriocidal. Individuals with neurologic Lyme disease, cardiac Lyme disease, or Lyme arthritis that hasn’t responded well to oral antibiotic treatment will often be given intravenous ceftriaxone. DIAGNOSIS | LYME DISEASECEREBROSPINAL FLUID TESTSPATIENTS WITH NEUROLOGIC SYMPTOMS SUGGESTIVE OF CENTRAL NERVOUS SYSTEM INVOLVEMENT SHOULD HAVE A LUMBAR PUNCTURE WITH DETERMINATION OF OPENING PRES...EMG/NERVE CONDUCTION STUDIESELECTROMYOGRAPHY (EMG) AND NERVE CONDUCTION STUDIES ASSESS THE INTEGRITY AND FUNCTION OF MUSCLE AND NERVE, RESPECTIVELY. THE EMG TEST ALLOWS THE NE...NEUROPSYCHOLOGICAL TESTINGCOMPREHENSIVE COGNITIVE ASSESSMENTS ARE VALUABLE FOR SEVERAL REASONS: 1. THEY PROVIDE AN OBJECTIVE MEASURE OF THE PERSON'S COGNITIVE FUNCTIONING AT... Diagnosis of Lyme disease is made through a clinical decision making process that includes a medical history, physical exam, review of past diagnostic tests and consultations, and results from newly ordered tests. In early Lyme disease, one can make the diagnosis of Lyme disease with near 100% certainty when the expanding red rash is

present.

CHRONIC SYMPTOMS

The medical community acknowledges that approximately 5-20% of patients may have chronic symptoms after getting Lyme disease, often ones that are quite disabling . Whatever one calls it, the experience is the same. Most often these patients experience profound fatigue, pain, and/or cognitive impairment. Mild to moderate levels of

depression and

CURRENT RESEARCH STUDIES This new study aims to investigate individuals experiencing persistent pain that was triggered by Lyme Disease. By utilizing brain imaging (functional MRI), we hope to gain a better understanding of why patients have ongoing problems with persistent pain, fatigue, COHEN CENTER FOR HEALTH AND RECOVERY FROM LYME AND TICK The Gift. The Cohen Center for Health and Recovery from Tick-Borne Diseases, supported by a $16 million gift from the Steven and Alexandra Cohen Foundation, will be the first in New York City to offer dedicated evaluation and treatment for people with acute and chronic forms of Lyme and related diseases. The gift also establishes

a new national

HEARTLAND VIRUS

Overview. Transmitted by the lone star tick bite, the Heartland virus or Bunyaviridae was discovered in 2009. Reports of this disease have come from Missouri, Tennessee, and Oklahoma. When testing animals in Missouri — specifically raccoons and deer — approximately 60 percent were found to have been exposed to Heartland virus.

ANAPLASMOSIS

BARTONELLOSIS

ALPHA-GAL MEAT ALLERGY Alpha-Gal Meat Allergy. Alpha-gal allergy is a syndrome that was first described in 2009 as a delayed anaphylaxis to red meat, specifically an excessive IgE antibody response to an oligosaccharide epitope, galactose-alpha-1,3-galactose. This reaction typically occurs about

three to

PATIENTS | LYME DISEASE Patients come to our Lyme Center to participate in research to identify better treatments, blood tests, or biomarkers. Others come for a "Second Opinion" to clarify their diagnosis or treatment plan. DIAGNOSIS | LYME DISEASE Diagnosis of Lyme disease is made through a clinical decision making process that includes a medical history, physical exam, review of past diagnostic tests and consultations, and results from newly ordered tests. In early Lyme disease, one can make the diagnosis of Lyme disease with near 100% certainty when the expanding red rash is

present.

CURRENT RESEARCH STUDIES This new study aims to investigate individuals experiencing persistent pain that was triggered by Lyme Disease. By utilizing brain imaging (functional MRI), we hope to gain a better understanding of why patients have ongoing problems with persistent pain, fatigue, CONTACT | LYME DISEASE 1051 Riverside Drive. Unit 69. New York, NY 10032. United States. 646-774-7503. lymecenter@cumc.columbia.edu. (link sends e-mail) Open location in Google Maps. Please understand that although we certainly have considerable expertise in Lyme disease, we cannot make clinical recommendations over the phone or through email about patients we have

FAQ | LYME DISEASE

The emotional would include feeling guilty, hopeless, suicidal, and being unable to enjoy life in any aspect. Chronic symptoms triggered by Lyme disease are most often associated with insomnia or hypersomnia, fatigue, headaches, pain, and, not uncommonly, problems with cognition as well. GET A SECOND OPINION Seeking a second opinion should never be discouraged if symptoms persist despite current treatments. Physicians, while often well-intentioned and expert in certain areas, cannot be experts in all areas of medicine. A diagnosis of Lyme or another tick-borne disease may have been missed by doctors not familiar with its many

manifestations.

TICK PARALYSIS

Tick paralysis is caused by the exposure to a neurotoxin released by tick salivary glands during a bite. The most common vectors are the American dog tick and the Rocky Mountain wood tick. Most common infection locations are the Pacific Northwest, Rocky Mountain states, and southeastern part of TICK-BORNE ENCEPHALITIS Overview. Belonging to the genus Flavivirus, tick-borne encephalitis (TBE) is transmitted by the bite of an infected arthropod, specifically mosquitoes and ticks. The highest number of cases lie in Eastern Europe and Russia. Ixodes ricinus is the tick vector for both tick-borne encephalitis as well as Lyme disease in Europe, therefore

BORRELIA MIYAMOTOI

Overview. Borrelia miyamotoi was discovered in 1995 in Japan, but didn't make an appearance in North America until 2013. The bite of the Ixodes tick species is responsible for transmitting Borrelia miyamotoi, just as it is responsible for Lyme disease, babesiosis, and

anaplasmosis.

TULAREMIA | LYME DISEASE Tularemia is a rare but serious infection caused by the small, rod-shaped, nonmotile bacterium Francisella tularensis. The disease occurs throughout North American and Eurasia. In the United States, it is most prevalent in the western and south-central parts of the country, but cases have been reported in every state but Hawaii. LYME DISEASEABOUT USPATIENTSRESEARCHEDUCATIONTREATMENTQ FEVER Lyme Disease. Lyme disease is an illness caused by the bacterium Borrelia burgdorferi. The disease is transmitted to humans through the bite of infected blacklegged ticks. Lyme Disease.

TREATMENT OPTIONS

Ceftriaxone is a third generation cephalosporin and, like other cephalosporins, is bacteriocidal. Individuals with neurologic Lyme disease, cardiac Lyme disease, or Lyme arthritis that hasn’t responded well to oral antibiotic treatment will often be given intravenous ceftriaxone. DIAGNOSIS | LYME DISEASECEREBROSPINAL FLUID TESTSPATIENTS WITH NEUROLOGIC SYMPTOMS SUGGESTIVE OF CENTRAL NERVOUS SYSTEM INVOLVEMENT SHOULD HAVE A LUMBAR PUNCTURE WITH DETERMINATION OF OPENING PRES...EMG/NERVE CONDUCTION STUDIESELECTROMYOGRAPHY (EMG) AND NERVE CONDUCTION STUDIES ASSESS THE INTEGRITY AND FUNCTION OF MUSCLE AND NERVE, RESPECTIVELY. THE EMG TEST ALLOWS THE NE...NEUROPSYCHOLOGICAL TESTINGCOMPREHENSIVE COGNITIVE ASSESSMENTS ARE VALUABLE FOR SEVERAL REASONS: 1. THEY PROVIDE AN OBJECTIVE MEASURE OF THE PERSON'S COGNITIVE FUNCTIONING AT... Diagnosis of Lyme disease is made through a clinical decision making process that includes a medical history, physical exam, review of past diagnostic tests and consultations, and results from newly ordered tests. In early Lyme disease, one can make the diagnosis of Lyme disease with near 100% certainty when the expanding red rash is

present.

CHRONIC SYMPTOMS

The medical community acknowledges that approximately 5-20% of patients may have chronic symptoms after getting Lyme disease, often ones that are quite disabling . Whatever one calls it, the experience is the same. Most often these patients experience profound fatigue, pain, and/or cognitive impairment. Mild to moderate levels of

depression and

CURRENT RESEARCH STUDIES This new study aims to investigate individuals experiencing persistent pain that was triggered by Lyme Disease. By utilizing brain imaging (functional MRI), we hope to gain a better understanding of why patients have ongoing problems with persistent pain, fatigue, COHEN CENTER FOR HEALTH AND RECOVERY FROM LYME AND TICK The Gift. The Cohen Center for Health and Recovery from Tick-Borne Diseases, supported by a $16 million gift from the Steven and Alexandra Cohen Foundation, will be the first in New York City to offer dedicated evaluation and treatment for people with acute and chronic forms of Lyme and related diseases. The gift also establishes

a new national

HEARTLAND VIRUS

Overview. Transmitted by the lone star tick bite, the Heartland virus or Bunyaviridae was discovered in 2009. Reports of this disease have come from Missouri, Tennessee, and Oklahoma. When testing animals in Missouri — specifically raccoons and deer — approximately 60 percent were found to have been exposed to Heartland virus.

ANAPLASMOSIS

BARTONELLOSIS

ALPHA-GAL MEAT ALLERGY Alpha-Gal Meat Allergy. Alpha-gal allergy is a syndrome that was first described in 2009 as a delayed anaphylaxis to red meat, specifically an excessive IgE antibody response to an oligosaccharide epitope, galactose-alpha-1,3-galactose. This reaction typically occurs about

three to

LYME DISEASEABOUT USPATIENTSRESEARCHEDUCATIONTREATMENTQ FEVER Lyme Disease. Lyme disease is an illness caused by the bacterium Borrelia burgdorferi. The disease is transmitted to humans through the bite of infected blacklegged ticks. Lyme Disease.

TREATMENT OPTIONS

Ceftriaxone is a third generation cephalosporin and, like other cephalosporins, is bacteriocidal. Individuals with neurologic Lyme disease, cardiac Lyme disease, or Lyme arthritis that hasn’t responded well to oral antibiotic treatment will often be given intravenous ceftriaxone. DIAGNOSIS | LYME DISEASECEREBROSPINAL FLUID TESTSPATIENTS WITH NEUROLOGIC SYMPTOMS SUGGESTIVE OF CENTRAL NERVOUS SYSTEM INVOLVEMENT SHOULD HAVE A LUMBAR PUNCTURE WITH DETERMINATION OF OPENING PRES...EMG/NERVE CONDUCTION STUDIESELECTROMYOGRAPHY (EMG) AND NERVE CONDUCTION STUDIES ASSESS THE INTEGRITY AND FUNCTION OF MUSCLE AND NERVE, RESPECTIVELY. THE EMG TEST ALLOWS THE NE...NEUROPSYCHOLOGICAL TESTINGCOMPREHENSIVE COGNITIVE ASSESSMENTS ARE VALUABLE FOR SEVERAL REASONS: 1. THEY PROVIDE AN OBJECTIVE MEASURE OF THE PERSON'S COGNITIVE FUNCTIONING AT... Diagnosis of Lyme disease is made through a clinical decision making process that includes a medical history, physical exam, review of past diagnostic tests and consultations, and results from newly ordered tests. In early Lyme disease, one can make the diagnosis of Lyme disease with near 100% certainty when the expanding red rash is

present.

CHRONIC SYMPTOMS

The medical community acknowledges that approximately 5-20% of patients may have chronic symptoms after getting Lyme disease, often ones that are quite disabling . Whatever one calls it, the experience is the same. Most often these patients experience profound fatigue, pain, and/or cognitive impairment. Mild to moderate levels of

depression and

CURRENT RESEARCH STUDIES This new study aims to investigate individuals experiencing persistent pain that was triggered by Lyme Disease. By utilizing brain imaging (functional MRI), we hope to gain a better understanding of why patients have ongoing problems with persistent pain, fatigue, COHEN CENTER FOR HEALTH AND RECOVERY FROM LYME AND TICK The Gift. The Cohen Center for Health and Recovery from Tick-Borne Diseases, supported by a $16 million gift from the Steven and Alexandra Cohen Foundation, will be the first in New York City to offer dedicated evaluation and treatment for people with acute and chronic forms of Lyme and related diseases. The gift also establishes

a new national

HEARTLAND VIRUS

Overview. Transmitted by the lone star tick bite, the Heartland virus or Bunyaviridae was discovered in 2009. Reports of this disease have come from Missouri, Tennessee, and Oklahoma. When testing animals in Missouri — specifically raccoons and deer — approximately 60 percent were found to have been exposed to Heartland virus.

ANAPLASMOSIS

BARTONELLOSIS

ALPHA-GAL MEAT ALLERGY Alpha-Gal Meat Allergy. Alpha-gal allergy is a syndrome that was first described in 2009 as a delayed anaphylaxis to red meat, specifically an excessive IgE antibody response to an oligosaccharide epitope, galactose-alpha-1,3-galactose. This reaction typically occurs about

three to

PATIENTS | LYME DISEASE Patients come to our Lyme Center to participate in research to identify better treatments, blood tests, or biomarkers. Others come for a "Second Opinion" to clarify their diagnosis or treatment plan. DIAGNOSIS | LYME DISEASE Diagnosis of Lyme disease is made through a clinical decision making process that includes a medical history, physical exam, review of past diagnostic tests and consultations, and results from newly ordered tests. In early Lyme disease, one can make the diagnosis of Lyme disease with near 100% certainty when the expanding red rash is

present.

CURRENT RESEARCH STUDIES This new study aims to investigate individuals experiencing persistent pain that was triggered by Lyme Disease. By utilizing brain imaging (functional MRI), we hope to gain a better understanding of why patients have ongoing problems with persistent pain, fatigue, CONTACT | LYME DISEASE 1051 Riverside Drive. Unit 69. New York, NY 10032. United States. 646-774-7503. lymecenter@cumc.columbia.edu. (link sends e-mail) Open location in Google Maps. Please understand that although we certainly have considerable expertise in Lyme disease, we cannot make clinical recommendations over the phone or through email about patients we have

FAQ | LYME DISEASE

The emotional would include feeling guilty, hopeless, suicidal, and being unable to enjoy life in any aspect. Chronic symptoms triggered by Lyme disease are most often associated with insomnia or hypersomnia, fatigue, headaches, pain, and, not uncommonly, problems with cognition as well. GET A SECOND OPINION Seeking a second opinion should never be discouraged if symptoms persist despite current treatments. Physicians, while often well-intentioned and expert in certain areas, cannot be experts in all areas of medicine. A diagnosis of Lyme or another tick-borne disease may have been missed by doctors not familiar with its many

manifestations.

TICK PARALYSIS

Tick paralysis is caused by the exposure to a neurotoxin released by tick salivary glands during a bite. The most common vectors are the American dog tick and the Rocky Mountain wood tick. Most common infection locations are the Pacific Northwest, Rocky Mountain states, and southeastern part of TICK-BORNE ENCEPHALITIS Overview. Belonging to the genus Flavivirus, tick-borne encephalitis (TBE) is transmitted by the bite of an infected arthropod, specifically mosquitoes and ticks. The highest number of cases lie in Eastern Europe and Russia. Ixodes ricinus is the tick vector for both tick-borne encephalitis as well as Lyme disease in Europe, therefore

BORRELIA MIYAMOTOI

Overview. Borrelia miyamotoi was discovered in 1995 in Japan, but didn't make an appearance in North America until 2013. The bite of the Ixodes tick species is responsible for transmitting Borrelia miyamotoi, just as it is responsible for Lyme disease, babesiosis, and

anaplasmosis.

TULAREMIA | LYME DISEASE Tularemia is a rare but serious infection caused by the small, rod-shaped, nonmotile bacterium Francisella tularensis. The disease occurs throughout North American and Eurasia. In the United States, it is most prevalent in the western and south-central parts of the country, but cases have been reported in every state but Hawaii. LYME DISEASEABOUT USPATIENTSRESEARCHEDUCATIONTREATMENTQ FEVER Lyme Disease. Lyme disease is an illness caused by the bacterium Borrelia burgdorferi. The disease is transmitted to humans through the bite of infected blacklegged ticks. Lyme Disease.

TREATMENT OPTIONS

Ceftriaxone is a third generation cephalosporin and, like other cephalosporins, is bacteriocidal. Individuals with neurologic Lyme disease, cardiac Lyme disease, or Lyme arthritis that hasn’t responded well to oral antibiotic treatment will often be given intravenous ceftriaxone. DIAGNOSIS | LYME DISEASECEREBROSPINAL FLUID TESTSPATIENTS WITH NEUROLOGIC SYMPTOMS SUGGESTIVE OF CENTRAL NERVOUS SYSTEM INVOLVEMENT SHOULD HAVE A LUMBAR PUNCTURE WITH DETERMINATION OF OPENING PRES...EMG/NERVE CONDUCTION STUDIESELECTROMYOGRAPHY (EMG) AND NERVE CONDUCTION STUDIES ASSESS THE INTEGRITY AND FUNCTION OF MUSCLE AND NERVE, RESPECTIVELY. THE EMG TEST ALLOWS THE NE...NEUROPSYCHOLOGICAL TESTINGCOMPREHENSIVE COGNITIVE ASSESSMENTS ARE VALUABLE FOR SEVERAL REASONS: 1. THEY PROVIDE AN OBJECTIVE MEASURE OF THE PERSON'S COGNITIVE FUNCTIONING AT... Diagnosis of Lyme disease is made through a clinical decision making process that includes a medical history, physical exam, review of past diagnostic tests and consultations, and results from newly ordered tests. In early Lyme disease, one can make the diagnosis of Lyme disease with near 100% certainty when the expanding red rash is

present.

CHRONIC SYMPTOMS

The medical community acknowledges that approximately 5-20% of patients may have chronic symptoms after getting Lyme disease, often ones that are quite disabling . Whatever one calls it, the experience is the same. Most often these patients experience profound fatigue, pain, and/or cognitive impairment. Mild to moderate levels of

depression and

CURRENT RESEARCH STUDIES This new study aims to investigate individuals experiencing persistent pain that was triggered by Lyme Disease. By utilizing brain imaging (functional MRI), we hope to gain a better understanding of why patients have ongoing problems with persistent pain, fatigue,

BARTONELLOSIS

ANAPLASMOSIS

BABESIOSIS | LYME DISEASESEE MORE ON COLUMBIA-LYME.ORG

BORRELIA MIYAMOTOI

ALPHA-GAL MEAT ALLERGY Alpha-Gal Meat Allergy. Alpha-gal allergy is a syndrome that was first described in 2009 as a delayed anaphylaxis to red meat, specifically an excessive IgE antibody response to an oligosaccharide epitope, galactose-alpha-1,3-galactose. This reaction typically occurs about

three to

LYME DISEASEABOUT USPATIENTSRESEARCHEDUCATIONTREATMENTQ FEVER Lyme Disease. Lyme disease is an illness caused by the bacterium Borrelia burgdorferi. The disease is transmitted to humans through the bite of infected blacklegged ticks. Lyme Disease.

TREATMENT OPTIONS

Ceftriaxone is a third generation cephalosporin and, like other cephalosporins, is bacteriocidal. Individuals with neurologic Lyme disease, cardiac Lyme disease, or Lyme arthritis that hasn’t responded well to oral antibiotic treatment will often be given intravenous ceftriaxone. DIAGNOSIS | LYME DISEASECEREBROSPINAL FLUID TESTSPATIENTS WITH NEUROLOGIC SYMPTOMS SUGGESTIVE OF CENTRAL NERVOUS SYSTEM INVOLVEMENT SHOULD HAVE A LUMBAR PUNCTURE WITH DETERMINATION OF OPENING PRES...EMG/NERVE CONDUCTION STUDIESELECTROMYOGRAPHY (EMG) AND NERVE CONDUCTION STUDIES ASSESS THE INTEGRITY AND FUNCTION OF MUSCLE AND NERVE, RESPECTIVELY. THE EMG TEST ALLOWS THE NE...NEUROPSYCHOLOGICAL TESTINGCOMPREHENSIVE COGNITIVE ASSESSMENTS ARE VALUABLE FOR SEVERAL REASONS: 1. THEY PROVIDE AN OBJECTIVE MEASURE OF THE PERSON'S COGNITIVE FUNCTIONING AT... Diagnosis of Lyme disease is made through a clinical decision making process that includes a medical history, physical exam, review of past diagnostic tests and consultations, and results from newly ordered tests. In early Lyme disease, one can make the diagnosis of Lyme disease with near 100% certainty when the expanding red rash is

present.

CHRONIC SYMPTOMS

The medical community acknowledges that approximately 5-20% of patients may have chronic symptoms after getting Lyme disease, often ones that are quite disabling . Whatever one calls it, the experience is the same. Most often these patients experience profound fatigue, pain, and/or cognitive impairment. Mild to moderate levels of

depression and

CURRENT RESEARCH STUDIES This new study aims to investigate individuals experiencing persistent pain that was triggered by Lyme Disease. By utilizing brain imaging (functional MRI), we hope to gain a better understanding of why patients have ongoing problems with persistent pain, fatigue,

BARTONELLOSIS

ANAPLASMOSIS

BABESIOSIS | LYME DISEASESEE MORE ON COLUMBIA-LYME.ORG

BORRELIA MIYAMOTOI

ALPHA-GAL MEAT ALLERGY Alpha-Gal Meat Allergy. Alpha-gal allergy is a syndrome that was first described in 2009 as a delayed anaphylaxis to red meat, specifically an excessive IgE antibody response to an oligosaccharide epitope, galactose-alpha-1,3-galactose. This reaction typically occurs about

three to

PATIENTS | LYME DISEASE Patients come to our Lyme Center to participate in research to identify better treatments, blood tests, or biomarkers. Others come for a "Second Opinion" to clarify their diagnosis or treatment plan. TREATMENT | LYME DISEASE Treatment options are many for Lyme disease. For New cases of Lyme disease: Individuals not yet treated with antibiotics for a new case of Lyme Disease should immediately consult with his/her primary care physician to discuss treatment. In the context of a new Lyme rash, treatment should be started immediately even if the blood tests are negative as it can take 2-4 weeks before a blood test

SIGNS AND SYMPTOMS

Lyme meningitis symptoms consist of headache, neck stiffness, nausea, vomiting, light sensitivity and/or fever. Specifically, meningitis is the inflammation of the membranes covering the brain and spinal cord. A lumbar puncture or spinal tap is a helpful test to correctly diagnose Lyme meningitis. In Lyme meningitis, the cerebrospinal fluid CONTACT | LYME DISEASE 1051 Riverside Drive. Unit 69. New York, NY 10032. United States. 646-774-7503. lymecenter@cumc.columbia.edu. (link sends e-mail) Open location in Google Maps. Please understand that although we certainly have considerable expertise in Lyme disease, we cannot make clinical recommendations over the phone or through email about patients we have GET A SECOND OPINION Second Opinion Evaluation Service ***Please note that during this COVID-19 situation, we will be doing all appointments through telehealth. These appointments will be done over video conferencing and we are happy to go into more details with you over the phone to decide if this is the right option for you. COHEN CENTER FOR HEALTH AND RECOVERY FROM LYME AND TICK The Gift. The Cohen Center for Health and Recovery from Tick-Borne Diseases, supported by a $16 million gift from the Steven and Alexandra Cohen Foundation, will be the first in New York City to offer dedicated evaluation and treatment for people with acute and chronic forms of Lyme and related diseases. The gift also establishes

a new national

HEARTLAND VIRUS

Overview. Transmitted by the lone star tick bite, the Heartland virus or Bunyaviridae was discovered in 2009. Reports of this disease have come from Missouri, Tennessee, and Oklahoma. When testing animals in Missouri — specifically raccoons and deer — approximately 60 percent were found to have been exposed to Heartland virus. TICK-BORNE ENCEPHALITIS Overview. Belonging to the genus Flavivirus, tick-borne encephalitis (TBE) is transmitted by the bite of an infected arthropod, specifically mosquitoes and ticks. The highest number of cases lie in Eastern Europe and Russia. Ixodes ricinus is the tick vector for both tick-borne encephalitis as well as Lyme disease in Europe, therefore

TICK PARALYSIS

Tick paralysis is caused by the exposure to a neurotoxin released by tick salivary glands during a bite. The most common vectors are the American dog tick and the Rocky Mountain wood tick. Most common infection locations are the Pacific Northwest, Rocky Mountain states, and southeastern part of FIRST MULTIPLEX TEST FOR TICK-BORNE DISEASES REPORTED IN Led by Rafal Tokarz, PhD, and Ian Lipkin, MD, at the Center for Infection and Immunity at Columbia University’s Mailman School of Public Health, this research team developed a new blood test that has the potential to revolutionize the diagnosis of eight tick-borne diseases. Details of the test, called the Tick-Borne Disease Serochip (TBD Serochip), were reported in the journal Nature Skip to site alert. Skip to content Coronavirus information for patients and the CUIMC community. OUR WEBSITE USES COOKIES This website uses cookies as well as similar tools and technologies to understand visitors’ experiences. By continuing to use this website, you consent to Columbia University’s usage of cookies and similar technologies, in accordance with the Columbia University Website

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A NEW *HYBRID* TREATMENT RESEARCH STUDY - DISULFIRAM Are you suffering from chronic fatigue that began after you were diagnosed and treated with antibiot A New *HYBRID* Treatment Research Study - Disulfiram MEET OUR EXTENDED LYME RESEARCH TEAM Our core group plus collaborators from labs across Columbia. Meet our extended Lyme research team COHEN CENTER FOR HEALTH AND RECOVERY FROM LYME AND TICK-BORNE

DISEASES

This Center for adults & children provides affordable care, training, and research treatments. Cohen Center for Health and Recovery from Lyme and Tick-borne Diseases CLINICAL TRIALS NETWORK COORDINATING CENTER FOR LYME AND OTHER TICK-BORNE DISEASES(LINK IS EXTERNAL AND OPENS IN A NEW WINDOW) CTN welcomes your ideas on novel treatment approaches. Clinical Trials Network Coordinating Center for Lyme and other Tick-Borne Diseases(link is external and opens in a new window)

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The Lyme and Tick-Borne Diseases Research Center brings together leading clinicians and scientists to enhance patient care and recovery, using precision medicine to solve the most urgent clinical

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LYME DISEASE

Lyme disease is an illness caused by the bacterium Borrelia burgdorferi. The disease is transmitted to humans through the bite of infected blacklegged ticks.

Lyme Disease

OTHER TICK-BORNE DISEASES Other diseases caused by tick-borne infections include anaplasmosis, babesiosis, ehrlichiosis, borrelia miyamotoi disease, Rocky Mountain Spotted Fever, and many others. Other Tick-Borne Diseases

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ANNOUNCEMENTS

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CONQUERING LYME DISEASE RECEIVES 2019 CHOICE AWARD FOR OUTSTANDING

TITLE

Conquering Lyme Disease: Science Bridges the Great Divide was praised by the science journal NATURE and by medical journal LANCET INFECTIOUS DISEASES. The 2019 paperback version is now available. .

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DR. JOHN KEILP, SENIOR NEUROPSYCHOLOGIST AT THE COLUMBIA LYME CENTER, REPORTS A "FINGERPRINT" OF NEUROCOGNITIVE LYME DISEASE Dr. John Keilp, senior neuropsychologist at the Columbia Lyme Center, reports a "fingerprint" of neurocognitive Lyme disease.

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NPR FEATURE: LIFE WITH LYME DISEASE Dr. Fallon featured on an hour long show on NPR "Life with Lyme

Disease"

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NEWS

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CLINICAL TRIALS NETWORK COORDINATING CENTER (CTNCC) OPENS PROPOSAL SUBMISSIONS(LINK IS EXTERNAL AND OPENS IN A NEW WINDOW)

June 4, 2021

Clinical Trials Network Coordinating Center (CTNCC) Opens Proposal

Submissions

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COLUMBIA ESTABLISHES TREATMENT CENTER AND CLINICAL TRIALS NETWORK FOR LYME AND TICK-BORNE DISEASES

March 30, 2021

The Cohen Center for Health and Recovery from Tick-Borne Diseases, will be the first in New York City to offer dedicated treatment for people with Lyme and related diseases.

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SHE TESTED NEGATIVE FOR LYME DISEASE. SO WHAT WAS WRONG?(LINK IS EXTERNAL AND OPENS IN A NEW WINDOW)

July 28, 2020

It's called Borrelia miyamotoi, and it causes one of the newest tick-borne diseases.

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LYME DISEASE DURING COVID TIME" - NEW YORK TIMES(LINK IS EXTERNAL AND OPENS IN A NEW WINDOW)

May 28, 2020

The basic symptoms mirror Covid-19, and that’s a worry nobody needs. Plus, a serious illness like Lyme could put you at greater risk from

Covid.

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MANAGING ANXIETY DURING THE CORONAVIRUS OUTBREAK(LINK IS EXTERNAL AND OPENS IN A NEW WINDOW)

March 24, 2020

Dr. Brian Fallon specializes in illness anxiety/hypochondria and shares his recommendations on how to manage anxiety while remaining

safe.

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