Warning Signs of Emergence of LBC in Children

Observational Review of Signs and Symptoms in Pre and Post-Adolescence Which May Reflect Emergence of Lyme Borreliosis Complex (LBC) Infection

Newborns (0-2mo)
Failure to thrive, colic, GERD with intervention (meds, mom’s diet, formula), Fever of unknown origin (FUO)
Newborns (0-2mo)
lyme sympthoms infants
Infants/childrens (birth-1yo & 2-5yo):
FUO, ENT infections (AOM, Strep), delay in milestones (speech delay/atonia), atopy presentation (food allergies, eczema, reactive airway, rashes come & go), nocturnal enuresis (persisting & after age 9), sleep disturbance (night terrors, sleep talking/walking), emotional lability (tantrums), growing pains, fatigue/malaise, seizures & seizure-like equivalents, irritable Bowel Syndrome (constipation vs diarrhea).
Infants/childrens (birth-1yo & 2-5yo):
School age (6-12yo):
Attention Deficit Hyperactivity Disorder (ADHD), Obsessive Compulsive Disorder (OCD), Oppositional Defiant Disorder (ODD), Generalized Anxiety Disorder (GAD), Major Depressive Disorder (MDD), Depersonalization-Derealization Disorder (DPDR), Dissociative Identity Disorder (DID), emotional lability, frequent headaches, migraines (especially early onset in boys), dysautonomia (mottling/tachycardia/temp intolerance/exercise intolerance), motor/vocal tics, tremors, fatigue/malaise, nocturnal enuresis (after age 9), eating disorder (Anorexia, Bulimia, Binge, Avoidant/Restrictive); abnormal cravings, endocrine disorder (thyroid dysfunction, adrenal fatigue), irritable Bowel Syndrome (constipation vs diarrhea), inflammatory Bowel Disease (colitis, crohn’s), GI motility issues (gastroparesis), unexplained arthralgias/myalgias, excessive musculoskeletal issues (fractures, hypermobility, EDS), sleep disturbance (night terrors, sleep talking/walking), skin manifestations (violaceous striae, vascularities,, atopy presentation (unusually severe food allergies/intolerance, eczema, reactive airway, rashes come & go).
School age (6-12yo):
Adolecscent (12-19yo):
ADHD, OCD, ODD, GAD, DPDR, DID, emotional lability, MDD (with suicidality/self-mutilation), eating disorder (Anorexia, Bulimia, Binge, Avoidant/Restrictive); abnormal cravings, sleep disturbance (night terrors, sleep talking/walking), precocious puberty, late puberty, late onset of menses, menstrual irregularities, ovarian cysts, endometriosis, PCOS, Gynecomastia and Hypogonadism in males, endocrine disorder (thyroid dysfunction, adrenal fatigue), IBS (constipation vs diarrhea) and IBD (colitis, crohn’s), GI motility issues (gastroparesis) , inflammatory Acne Vulgaris (pustules, papules, cysts/nodules), skin (violaceous striae, vascularities, acrodermatitis chronica atrophicans), atopy presentation (unusually severe food allergies/intolerance, eczema, reactive airway, rashes come & go), unexplained arthralgias/mialgias, excessive musculoskeletal issues (fractures, hypermobility, EDS), frequent headaches, migraines (especially early onset in boys), Dysautonomia (mottling/tachycardia/temp intolerance/exercise intolerance), motor/vocal tics, tremors, fatigue/malaise.
Adolecscent (12-19yo):