CH 42 Infections: Bacterial & Spirocheta

Question 1

lyme disease signs and symptoms

Answer 1

erythema chronicum migrans (ring that spreads over days, center may be clear), mild tenderness, most patients otherwise aymptomatic. Some may have fever, (low grade). headache, myalgias, skin lesions, urticaria, diffuse erythema, neuromanifestations

Question 2

lyme disease lab findings

Answer 2

circulating IgM cryoglobulins, joint fluid, CSF may show lymphocytic pleocytosis and elevated protein

Question 3

lyme disease prevention

Answer 3

Avoid endemic areas, wearing long sleeves and pants, frequent checks for ticks, and application of tick repellents

Question 4

lyme disease treatment

Answer 4

antimicrobial therapy, amoxicillin, doxycycline, ceftriaxone, PCN G, cefotaxime