Lyme disease Flashcards
1
Q
Lyme disease is caused by the spirochaete Borrelia burgdorferi - how is it spread?
A
Tick bites
2
Q
What is the main early feature of lyme disease
A
- Bulls eye rash
3
Q
Name a systemic feature
A
- Headache
- Arthralgia
- Fever
- Lethargy
4
Q
Name a late feature
A
- Radicular pain
- Heart block
- Peri or myocarditis
- Meningitis
- Facial nerve palsy
5
Q
When can Lyme disease be diagnosed clinically?
A
When there’s erythema migrans
6
Q
What is the gold standard test for Lyme disease diagnosis?
A
Enzyme-linked immunosorbent assay to borrelia burgdorferi
7
Q
If symptomatic and early disease, what is the first and second line management?
A
1st = doxycycline
2nd = amoxicillin
8
Q
If there’s disseminated disease, how is it managed?
A
Ceftriaxone
