Lyme disease: Difference between revisions

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==Clinical Features==
==Clinical Features==
*Monarticular or oligoarticular asymmetric joint involvement (large joints most commonly)
*Monarticular or oligoarticular [[arthritis]] asymmetric joint involvement (large joints most commonly)
**Migratory pattern may occur
**Migratory pattern may occur



Revision as of 05:54, 29 February 2012

Background

  • Arthritic manifestations can occur weeks, months, or years after stage I infection

Clinical Features

  • Monarticular or oligoarticular arthritis asymmetric joint involvement (large joints most commonly)
    • Migratory pattern may occur

Treatment

Prophylaxis

Tick Bite Propylaxis = Doxycycline 200mg PO x 1

High Risk

  1. Tick on for >48 hrs
  2. Engorged tick
  3. Endenic area (east coast)

^Old vaccine has little to no efficacy after 1 year