Lyme disease ppt final

1. Lyme Disease 2015 March 9, 2015 Daniel M. Sullivan MD FACP Medicine Institute

2. What is it? Lyme Disease is a tick borne illness Bacteria is transmitted under the skin through a tick bite. Borrelia Burgdorferei in the United States Blacklegged ticks are the source

3. Blacklegged Ticks ( Ixodes scapularis ) http://www.cdc.gov/lyme/transmission/blacklegged.html

4. Ticks need 36 hours of attachment to transmit disease The ticks are often in the nymph stage 2 mm in size

5. Ixodes scapularis ticks demonstrating changes in blood engorgement after various durations of attachment Gary P. Wormser et al. Clin Infect Dis. 2006;43:1089-1134

6. Typical Symptoms Fever Headache Fatigue Rash

7. Erythema Migrans Rash is called Erythema Migrans Looks like a red bulls eye with a white center http://www.cdc.gov/ticks/symptoms.html

8. If Untreated Spreads to Joints Heart Nervous System

9. Diagnosis is Based on Symptoms Red expanding rash Fatigue, Chills, Fever Headache, Muscle, and Joint Aches Swollen Lymph Nodes

10. Lab Testing Should be done if exposed to blacklegged ticks and have symptoms

11. Treatment If diagnosed with symptoms & lab testing….. Most cases resolve with a few weeks of antibiotics

12. Prevention Daily v isual i nspection of skin & clothes Use i nsect repellent Remove the tick promptly Reducing tick h abitat http://www2.epa.gov/insect-repellents

13. Prevention Once the tick has been isolated and clearly visible and free from obstruction, place the wide part of the notch on the skin near the tick (hold skin taut if necessary). Applying slight pressure downward on the skin, slide the remover forward so the small part of the notch is framing the tick. Continuous forward sliding motion detaches the tick. (Do not pry, lever or lift up - slide forward.) Clean your tick remover with alcohol or similar disinfectant. Although the spoons can be disinfected, please use your spoon only . How to Remove a Tick Using a Tick Spoon Remover

14. Where is the Highest Risk Northeast and Mid- A tlantic Wisconsin and Minnesota Northern California

15. Reported cases of Lyme disease, United States, 2013 Though Lyme disease cases have been reported in nearly every state, cases are reported from the infected person’s county of residence, not they place where they were infected. http://www.cdc.gov/lyme/resources/brochure/lymediseasebrochure.pdf

16. Reported Lyme disease cases in the United States from 1990-2013 http://module.lymediseaseassociation.net/Maps/

17. Can the Blood Test be Wrong? Often the test is negative during the rash stage of the illness in the first few weeks

18. If the Blood test is still positive is infection still present? The blood test measures antibodies and stays positive for years.

19. Standard Treatment Early disease is treated with doxycycline or amoxicillin Later disease in the nervous system may need intravenous antibiotics

20. Questions Submit your question by typing in the box above your screen.