When untreated, infection may spread to the heart, nervous system. For the rheumatologist, Lyme arthritis should be recognized by a pattern of attacks of asymmetric, oligo-arthritis, recognizable by clinical manifestations in the same way that other rheumatic diseases, such as gout or rheumatoid arthritis, are diagnosed. Men with preexisting cardiovascular disease or an elevated cardiovascular risk were eligible if they were 45 to 80 years of age reported one or more symptoms of hypogonadism, including decreased. Abstract A 32-year-old pregnant woman from southeastern Connecticut presents to her physician in July at 26 weeks gestation because of a skin lesion. Lyme disease is an infectious disease caused by the bacterium Borrelia burgdorferi. The diagnosis of Lyme disease is based on clinical manifestations and adjunctive laboratory testing. In most cases, Lyme arthritis also responds to antibiotics, but some patients require additional treatment approaches. In this prospective, population-based study of Lyme disease in southern Sweden, we found an annual incidence of 69 cases per 100,000 inhabitants (range among counties with low and high levels of. Almost all patients with early Lyme disease can be cured with antibiotic treatment. There has been continuing progress in characterizing the clinical manifestations, diagnostic testing and treatment of Lyme disease. microti infection is almost as common as Lyme disease in some areas of southern New England, an observation that is consistent with the high prevalence of B. This review examines the emergence, clinical features and management of early Lyme disease and Lyme arthritis. The disease causes rash, acute systemic illness, and in some untreated patients, inflammatory arthritis. 137 Citing Articles Letters 1 Comment Key Clinical Points Audio Full Text This Journal feature begins with a case vignette highlighting a common clinical problem. Blacklegged ticks (commonly known as deer ticks) are the culprits that spread this disease in the U.S. Lyme disease is an important, vector-borne infection found throughout the temperate Northern hemisphere.
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