Sketchy Micro: Borrelia Flashcards

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1
Q

The Borrelia species are found primarily in the __________.

A

northeastern United States (like the North East archery competition)

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2
Q

Borrelia is transmitted by ______________.

A

the Ixodes scapularis tick (like the archer Robin of Ixodes)

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3
Q

The Ixodes tick mainly lives in ________________.

A

mice –when larval –and white-tail deer –when mature (represented by the mouse and deer in the background)

Note: it’s helpful to think that mice are smaller than deer and larvae are smaller than mature ticks.

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4
Q

What stain helps visualize Borrelia?

A

Wright-Giemsa (like the other archers, Sir Wright and Sir Giemsa)

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5
Q

Describe the three stages of Lyme disease.

A
  • Stage 1: painless, non-pruritic bull’s eye rash (like the bull’s eye being shot at by Robin); flu-like illness (Sir Wright sweating)
  • Stage 2: heart block caused by myocarditis (like the shield held by the guy in front of the second target); bilateral Bell’s palsy (like the two bells held above that guy)
  • Stage 3: migratory polyarthritis (like the swinging straw man with the arrow in his knee); encephalitis (arrow in head and Sir Giemsa is confused)
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6
Q

What are the three treatments for Borrelia?

A
  • Doxycycline (like the unicycle that Robin’s on)
  • Ceftriaxone (like the three axes on Robin’s shield)
  • Amoxicillin (like the Robin poster in the amoxicillin Sketch)
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