PMID: 11930473Apr 5, 2002Paper

Lyme disease

Journal of the American Academy of Nurse Practitioners
D Wright

Abstract

To review the presentation, treatment, and prevention of Lyme disease in primary care. Selected articles from the scientific literature and the Centers for Disease Control. Lyme disease is a tick-borne, multisystem inflammatory disease with worldwide distribution caused by the spirochete Borrelia burgdorferi. Lyme disease is initially characterized by a spreading, annular erythema migrans skin rash and can disseminate to the musculoskeletal, neurologic, or cardiovascular system. Stages of the disease present with varying clinical manifestations. Treatment of Lyme disease with appropriate antimicrobial therapy should be prompt in order to avoid debilitating outcomes. Awareness of the many presentations of Lyme disease in endemic areas may facilitate a timely diagnosis and appropriate treatment.

References

Oct 15, 1994·Annals of Internal Medicine·N A ShadickM H Liang
May 1, 1993·The Journal of Infectious Diseases·J Piesman
Feb 1, 1997·Journal of the American Academy of Dermatology·M Brown, A A Hebert
Aug 26, 1998·Lancet·R B Nadelman, G P Wormser
May 26, 1999·Emerging Infectious Diseases·M I MeltzerK A Orloski
Feb 9, 2000·JAMA : the Journal of the American Medical Association·E G SeltzerE D Shapiro

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