Lyme Disease Flashcards
1
Q
caused by
A
spirochate borrelia burgdorferi
2
Q
spread by
A
ticks
3
Q
early features
A
erythema migrans - bulls eye rash headache lethargy fever arthralgia
4
Q
late features
A
CVS - heart block, peri/myo-carditis
Neuro - facial nerve palsy, radicular pain, meningitis
5
Q
MX - asymptomatic tick bites
A
if tick present remove using fine tipped tweezers, grasp tick as close to skin as possible and pull up
no routine anitb
6
Q
Mx - suspected/confirmed lyme disease
A
doxycline in early disease
(amoxicillin if CI e.g. pregnancy)
ceftriazone if disseminated disease