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The full scope of microbiological mucus analysis is beyond the scope of this review, but includes microscopy, microbe identification using staining and other methods, and culturing [82]

However, this would represent an off-label, experimental approach that falls well outside current NICE guidance or standard NHS practice, and should only ever be considered within a formal clinical trial or with robust multidisciplinary oversight, documented informed consent, and a clear monitoring plan

To complicate matters, not all cases of Lyme are the same

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Left atrium This 65-year-old woman presents with recurrent syncope and signs of ventricular dysfunction (S3 and S4) and is found to have a pedunculated intracardiac mass with histology showing stellate cells in a myxoid stroma

Contribution of intrinsic lactate to maintenance of seizure activity in neocortical slices from patients with temporal lobe epilepsy and in rat entorhinal cortex