Lyme disease.

D Wright

Journal: Journal of the American Academy of Nurse Practitioners 2002;13(5):223-6; quiz 227-8

PMID: 11930473

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Abstract

PURPOSE

To review the presentation, treatment, and prevention of Lyme disease in primary care.

DATA SOURCES

Selected articles from the scientific literature and the Centers for Disease Control.

CONCLUSIONS

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.

IMPLICATIONS FOR PRACTICE

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.

Address: Florida Atlantic University, USA. [email protected]

DOI: 10.1111/j.1745-7599.2001.tb00024.x

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MeSH Terms: Anti-Bacterial Agents, Borrelia burgdorferi, Clothing, Diagnosis, Differential, Diagnostic Errors, Disease Transmission, Infectious, Humans, Incidence, Life Style, Lyme Disease, Lyme Disease Vaccines, Preventive Medicine, Primary Health Care, Risk Factors