Lyme Disease Flashcards
1
Q
What bacteria causes Lyme disease?
A
spirochaete Borrelia burgdorferi
2
Q
How is lyme disease spread?
A
ticks
3
Q
Early infective features
A
erythema migrans
- ‘bulls-eye’ rash 1-4 weeks after initial bite
- systemic features (headache/ lethargy/ fever/ joint pain)
4
Q
Late infective features (after 30 days)
A
- heart block
- peri/myocarditis
- facial nerve palsy
- radicular pain
- meningitis
5
Q
Erythema migrans is an indication to start antibiotics. TRUE/FALSE?
A
TRUE
6
Q
1st Line investigation for Lyme disease
A
enzyme-linked immunosorbent assay (ELISA) antibodies to Borrelia burgdorferi
7
Q
Management of Lyme disease
A
Doxycycline (if early)
Amoxicillin if doxycycline is contraindicated (e.g. pregnancy)
Ceftriaxone if disseminated disease
8
Q
What is Jarisch-Herxheimer reaction?
A
Reaction after first dose of antibiotic
- fever
- rash
- tachycardia
9
Q
A
