Lyme disease overview: Difference between revisions
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==Overview== | ==Overview== | ||
'''Lyme disease''', or '''borreliosis''', is an [[emerging infectious disease]] caused by [[spirochete]] [[bacteria]] from the [[genus]] ''[[Borrelia]]''.<ref name=Sherris>{{cite book | author = Ryan KJ, Ray CG (editors) | title = Sherris Medical Microbiology | edition = 4th ed. | pages = 434–7 | publisher = McGraw Hill | year = 2004 | isbn = 0838585299}}</ref> The [[Vector (biology)|vector]] of infection is typically the bite of an infected black-legged or [[deer tick]], but other carriers (including other [[tick]]s in the genus ''[[Ixodes]]'') have been implicated.<ref name=Baron>{{cite book | author = Johnson RC | chapter = Borrelia | title = Baron's Medical Microbiology ''(Baron S ''et al'', eds.)| edition = 4th ed. | publisher = Univ of Texas Medical Branch | year = 1996 | url = http://www.ncbi.nlm.nih.gov/books/bv.fcgi?&rid=mmed.section.1965 | isbn = 0-9631172-1-1 }}</ref> ''[[Borrelia burgdorferi]]'' is the predominant cause of Lyme disease in the US and ''Borrelia afzelii'' and ''Borrelia garinii'' are in Europe. | |||
The disease presentation varies widely, and may include a rash and [[flu]]-like symptoms in its initial stage, then [[musculoskeletal]], [[arthritic]], [[neurologic]], [[psychiatric]] and [[cardiac]] manifestations. In a majority of cases, symptoms can be eliminated with [[antibiotics]], especially if treatment begins early in the course of illness. Late or inadequate treatment often leads to "late stage" Lyme disease that is disabling and difficult to treat. [[Lyme disease controversy|Controversy]] over diagnosis, testing and treatment has led to two different standards of care.<ref name="Johnson-a">{{cite web | author = Johnson L | title = Lyme disease: two standards of care | publisher = International Lyme and Associated Diseases Society | date = 2005-02 | url = http://www.ilads.org/insurance.html | accessdate = 2007-08-21}}</ref><ref name="Johnson-b">{{cite journal | author = Johnson L, Stricker R | title = Treatment of Lyme disease: a medicolegal assessment. | journal = Expert Rev Anti Infect Ther | volume = 2 | issue = 4 | pages = 533-57 | year = 2004 | pmid = 15482219}}</ref> | |||
==References== | ==References== | ||
Revision as of 19:21, 8 February 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Lyme disease, or borreliosis, is an emerging infectious disease caused by spirochete bacteria from the genus Borrelia.[1] The vector of infection is typically the bite of an infected black-legged or deer tick, but other carriers (including other ticks in the genus Ixodes) have been implicated.[2] Borrelia burgdorferi is the predominant cause of Lyme disease in the US and Borrelia afzelii and Borrelia garinii are in Europe.
The disease presentation varies widely, and may include a rash and flu-like symptoms in its initial stage, then musculoskeletal, arthritic, neurologic, psychiatric and cardiac manifestations. In a majority of cases, symptoms can be eliminated with antibiotics, especially if treatment begins early in the course of illness. Late or inadequate treatment often leads to "late stage" Lyme disease that is disabling and difficult to treat. Controversy over diagnosis, testing and treatment has led to two different standards of care.[3][4]
References
- ↑ Ryan KJ, Ray CG (editors) (2004). Sherris Medical Microbiology (4th ed. ed.). McGraw Hill. pp. 434&ndash, 7. ISBN 0838585299.
- ↑ Johnson RC (1996). "Borrelia". Baron's Medical Microbiology (Baron S et al, eds.) (4th ed. ed.). Univ of Texas Medical Branch. ISBN 0-9631172-1-1.
- ↑ Johnson L (2005-02). "Lyme disease: two standards of care". International Lyme and Associated Diseases Society. Retrieved 2007-08-21. Check date values in:
|date=(help) - ↑ Johnson L, Stricker R (2004). "Treatment of Lyme disease: a medicolegal assessment". Expert Rev Anti Infect Ther. 2 (4): 533–57. PMID 15482219.