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Tuesday, 23 August 2011
Lyme disease
- tick-borne infection caused by spirochaete Borrelia burgdorferi
- transmitted by ixodid ticks
- ring like (bull's-eye) erythematous lesion (erythema chronicum migrans)
- presents with malaise, arthralgia, lymphadenopathy, radiculoneuritis (often involves cranial nerves,eg: Bell's palsy), lymphocytic meningitis (Bannwarth's syndrome) and carditis
- investigation: anti Borrelia burgdoferi titre
- treatment : oral doxycycline 100mg bd for 14-21 days, IV ceftriaxone for meningitis
- skin complication : acrodermatitis chronica atrophicans, borrelia lymphocytoma
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