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Lyme Disease

Lyme Disease is a topic covered in the 5-Minute Emergency Consult.

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Emergency Central

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Basics

Description

  • Most common tick-borne illness in North America
  • Endemic in Northeast, Upper Midwest, and northwestern California

Etiology

  • Peak April–November; 80–90% in summer months
  • Spirochete Borrelia burgdorferi introduced by Ixodes tick:
    • Ixodes dammini (deer tick) most common
  • <50% of patients recall tick bite.
  • Pathogenesis—combination of:
    • Organism-induced local inflammation
    • Cytokine release
    • Autoimmunity
  • No person-to-person transmission
  • Borrelia miyamotoi, a spirochete related to B. burgdorferi, has recently been described as causing disease similar to Lyme disease.

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Citation

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Lyme Disease ID - 307099 ED - Barkin,Adam Z, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Shayne,Philip, ED - Wolfe,Richard E, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307099/all/Lyme_Disease PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -