Hi!
Lyme's disease/ Lyme borreliosis
A patient with a typical history of frequent visits to the woods with bull's eye rash, neurologic features, cardiac abnormalities, and musculoskeletal features.
- caused by Borrelia burgdorferi (spirochete, visualised on LM)
- transmitted by Ixodes deer tick's bite
- co-infection with Anaplasma phagocytophilum.
- occurs in phases, though the patient may directly present with stage 2 or 3 manifestations without a past history of prior signs/symptoms.
- pathognomic/characteristic "bulls-eye'' skin lesions known as erythema migrans. (may develop early- within weeks, or late- within months)
- AV nodal block (often fluctuating)
- facial (Bell's) palsy, bilateral.
- Bone and joints: osteomyelitis, osteopenia, septic migratory arthralgias (type III HSR, knee and hip, several months after infection, may persist for years, chronic with exacerbations and remissions; HLA DR4)
- ocular manifestations: salt-and-pepper fundus
- signs of meningeal irritation/ aseptic meningitis.
Treatment: https://www.medicowesome.com/2017/05/treatment-of-erythema-migrans-in-early.html
That's all for now
- Jaskunwar Singh
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