Yu-Hao Guo

Borrelia miyamotoi disease presenting with hyperCKemia and severe glycemic destabilization in type 1 diabetes mellitus

Borrelia miyamotoi is a relapsing-fever spirochete that conventional tick-borne testing does not detect. We report a case notable for two findings not emphasized in prior series: creatine kinase elevation to 1464 U/L and glucose concentrations above 500 mg/dL without ketoacidosis in a pump-treated patient with type 1 d...