Lyme Disease

Question 1

subtypes of lyme disease

Answer 1

B. Afzelii, B burgdorferi, B garinii

Question 2

what type of ticks transmit lyme disease

Answer 2

Ixodes (blacklegged) ticks

Question 3

incubation period of lyme disease

Answer 3

3-30 days

Question 4

what is the causative bacteria in lyme disease

Answer 4

B burgdoferi

Question 5

what areas of the body to ticks prefer to attach to on the host

Answer 5

groin, axilla, and scalp

Question 6

in most cases, how long must a tick be attacked before b burgdoferi can be trasmitted to host?

Answer 6

36-48 hrs

Question 7

Why do people sometimes not know they have a tick attached to them?

Answer 7

anesthetic chemicals in saliva

Question 8

during the early stages of the disease how is lyme disease diagnosed?

Answer 8

clinically with visualization of erythema migrans (EM)-red ring like or homogenous expanding rash.

serological tests will be postive during disseminated disease.

Question 9

what are some sx of acute/early disseminated stage of lyme disease

Answer 9

in addition to constitutional sx:

Cardiac manifestations- conduction abnormalities, myocarditis, pericarditis

Neurologic Manifestation-
bells palsy or cranial neuropathy, meningitis, encephalitis

Question 10

What does late disseminated stage of lyme disease present as?

Answer 10

same as acute disseminated with the addition of rheumatologic manifestations-
transient effusion in one or multiple joints, pain in tendons, bursae, muscle, and bones.

Question 11

prophylaxis for lyme disease (post exposure or chemoprophylaxis)

Answer 11

doxycycline 200mg