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Record W4407416837 · doi:10.1177/2050313x251320186

Early disseminated cutaneous Lyme disease with SIADH, transaminitis, and pancytopenia: A case report

2025· article· en· W4407416837 on OpenAlexaffabout
Louis Deschênes, Philippe Jutras, Janie Bujold

Bibliographic record

VenueSAGE Open Medical Case Reports · 2025
Typearticle
Languageen
FieldImmunology and Microbiology
TopicVector-borne infectious diseases
Canadian institutionsCentre Intégré de Santé et Services Sociaux de la GaspésieCentre Intégré de Santé et de Services Sociaux du Bas-Saint-LaurentUniversité LavalCentre hospitalier universitaire de Québec
Fundersnot available
KeywordsMedicinePancytopeniaLyme diseaseDoxycyclineDermatologyBorrelia burgdorferiDiseaseLYMEPediatricsSurgeryInternal medicineImmunologyAntibioticsBone marrow

Abstract

fetched live from OpenAlex

in Canada. Early disseminated disease is challenging to diagnose and requires treatment to prevent severe sequelae. We report the case of a 71-year-old woman who was admitted for a fever. Her blood tests showed a syndrome of antidiuretic hormone secretion, transaminitis, and pancytopenia. During hospitalization, the patient was noted to have an initial annular patch, which was followed by multiple diffuse erythematous patches. After a comprehensive medical history by a dermatology consultant highlighting an exposure to a tick bite, early disseminated disease was diagnosed, and a complete remission was obtained with Doxycycline. Dermatologists must maintain a high clinical suspicion for Lyme disease.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Case report · Consensus signal: Case report
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.018
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0010.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.007
GPT teacher head0.267
Teacher spread0.260 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designCase report
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes2
Has abstractyes

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