Lyme Disease (Module 5)

Question 1

Lyme Disease Patho

Answer 1

reportable, systemic infection transferred by deer ticks infected with a spirochete (Borrelia burgdorferi)

some don’t experience stages 1/2; antibiotics may not work in any stage leading to permanent joint and CNS damage

Question 2

Localized Stage 1

Answer 2

3-30 days after bite, erythema migrans
flu-like symptoms with muscle/joint pain/stiffness
amoxicillin
if no treatment, symptoms disappear in 4-5 weeks

Question 3

Stage 2

Answer 3

2-12 weeks after bite, early disseminated stage

dysrhythmias
dyspnea
dizziness
palpitations
CNS disorders (meningitis)
facial paralysis
peripheral neuritis

ceftriaxone for 30 days

Question 4

Stage 3

Answer 4

months to yrs after bite accompanied by arthritis and permanent joint damage and CNS damage

Question 5

Lyme Disease Risk Factors

Answer 5

location (more prevalent in the NE)
occupation/recreation (camping, etc.)
summer time

Question 6

Lyme Disease Meds

Answer 6

antibiotic therapy (antibiotic, route and duration vary depending on stage and organ involvement); may fail

management of joint inflammation is similar to other types of arthritis treatment

vaccine previously available