Diseases, Conditions, Syndromes

How to protect yourself from ticks

Researchers say there are precautions those heading outside can take to limit risk from disease-carrying ticks. Take time to familiarize yourself with which tick species may be common in your area, as well as some common ...

Diseases, Conditions, Syndromes

It's time to think about Lyme disease prevention

"There's no way I have Lyme disease," stated my friend's 70-year-old dad while helping carry my mattress into our new apartment last summer, "I wasn't bitten by a tick—"

Diseases, Conditions, Syndromes

Heartland virus identified in lone star ticks in Georgia

Heartland virus is circulating in lone star ticks in Georgia, scientists at Emory University have found, confirming active transmission of the virus within the state. The journal Emerging Infectious Diseases published the ...

Diseases, Conditions, Syndromes

A potential new test for diagnosing Lyme disease

For scientists and clinicians alike, one of the Holy Grails for successfully treating and curing Lyme disease is developing tests that identify the disease sooner, show when people are cured of infection, and can diagnose ...

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Lyme disease

Lyme disease, or borreliosis, is an emerging infectious disease caused by at least three species of bacteria belonging to the genus Borrelia. Borrelia burgdorferi sensu stricto is the main cause of Lyme disease in the United States, whereas Borrelia afzelii and Borrelia garinii cause most European cases. The disease is named for the village of Lyme, Connecticut, where a number of cases were identified in 1975. Although Allen Steere realized in 1978 that Lyme disease was a tick-borne disease, the cause of the disease remained a mystery until 1982, when B. burgdorferi was identified by Willy Burgdorfer.

Lyme disease is the most common tick-borne disease in the Northern Hemisphere. Borrelia is transmitted to humans by the bite of infected ticks belonging to a few species of the genus Ixodes (the so-called "hard ticks"). Early symptoms may include fever, headache, fatigue, depression, and a characteristic circular skin rash called erythema migrans. Left untreated, later symptoms may involve the joints, heart, and central nervous system. In most cases, the infection and its symptoms are eliminated by antibiotics, especially if the illness is treated early. Late, delayed, or inadequate treatment can lead to the more serious symptoms, which can be disabling and difficult to treat. Occasionally, symptoms such as arthritis persist after the infection has been eliminated by antibiotics, prompting suggestions that Borrelia causes autoimmunity.

Some groups have argued that "chronic" Lyme disease is responsible for a range of medically unexplained symptoms beyond the recognized symptoms of late Lyme disease, and that additional, long-term antibiotic treatments are needed. Of four randomized controlled trials of long-term ceftriaxone and doxycycline treatment in patients with ongoing symptoms, two found no benefit, and two found inconsistent benefits with significant side effects and risks from the antibiotic treatment. Most expert groups, including the Infectious Diseases Society of America and the American Academy of Neurology, have found that existing scientific evidence does not support a role for Borrelia nor ongoing antibiotic treatment in such cases. However, the area is controversial, with a few doctors, patient advocacy groups and politicians continuing to argue that long-term treatment is beneficial, this dispute has led to legal action over treatment guidelines.

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