Lyme Disease: Difference between revisions

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Lyme disease is an infectious&nbsp;disorder caused by the spiral spirochete bacterium Borrelia burgdorferi which is transmitted to humans though the bite of infected ticks in the genus Ixodes (commonly referred to as “black-legged” or “deer” ticks). Species of Borrelia that are capable of causing the disease occur regularly in the United States, Europe, Asia, and Australia.<ref name="Pathology">Goodman CC, Fuller KS. Pathology: Implications for the Physical Therapist. 3rd ed. St. Louis, Missouri; Saunders Elsevier: 2009.</ref> <br>
Lyme disease is an infectious&nbsp;disorder caused by the spiral spirochete bacterium Borrelia burgdorferi which is transmitted to humans though the bite of infected ticks in the genus Ixodes (commonly referred to as “black-legged” or “deer” ticks). Species of Borrelia that are capable of causing the disease occur regularly in the United States, Europe, Asia, and Australia.<ref name="Pathology">Goodman CC, Fuller KS. Pathology: Implications for the Physical Therapist. 3rd ed. St. Louis, Missouri; Saunders Elsevier: 2009.</ref> <br>


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Revision as of 20:27, 18 February 2010

Welcome to PT 635 Pathophysiology of Complex Patient Problems This is a wiki created by and for the students in the School of Physical Therapy at Bellarmine University in Louisville KY. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors - Students from Bellarmine University's Pathophysiology of Complex Patient Problems project.

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Definition/Description[edit | edit source]

Hardin Library for the Health Sciences, University of Iowa. Available at http://www.lib.uiowa.edu/HARDIN/MD/cdc/1669.html.

Lyme disease is an infectious disorder caused by the spiral spirochete bacterium Borrelia burgdorferi which is transmitted to humans though the bite of infected ticks in the genus Ixodes (commonly referred to as “black-legged” or “deer” ticks). Species of Borrelia that are capable of causing the disease occur regularly in the United States, Europe, Asia, and Australia.[1]






 

Prevalence[edit | edit source]

As of 2008, Lyme Disease ranked as the most commonly reported vector-borne illness in the United States. Between 1992 and 2006, 248,074 cases were reported in the United States including the District of Columbia and the U.S. territories. The number of cases reported annually increased 101% from 9,908 cases in 1992 to 19,931 in 2006, with 93% of those cases occurring in 10 states in New England and the Upper Midwest (Connecticut, Delaware, Massachusetts, Maryland, New Jersey, New York, Pennsylvania, Rhode Island, and Wisconsin).[2]


Rates of incidence have continued to rise since 2006, with 27,444 cases reported in 2007 and 28,921 cases in 2008. As of 2008, the rate of incidence was 9.4 cases per 100,000. Children 5 to 14 years of age have the highest rate of incidence with an average of 8.6 cases per 100,000 compared to 3.0 cases per 100,000 for people 20 to 24 and 7.8 cases per 100,000 for ages 55 to 59.[3] Most cases develop during the summer months of May and August when individuals are more likely to visit wooded areas for work or recreation.

File:CDC IncidenceMap 08.jpg
From Lyme Disease Statistics. CDC Division of Vector-Borne Infectious Diseases. Available at http://www.cdc.gov/ncidod/dvbid/Lyme/ld_statistics.htm.

Characteristics/Clinical Presentation[edit | edit source]

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Associated Co-morbidities[edit | edit source]

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Medications[edit | edit source]

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Diagnostic Tests/Lab Tests/Lab Values[edit | edit source]

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Causes[edit | edit source]

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Systemic Involvement[edit | edit source]

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Medical Management (current best evidence)[edit | edit source]

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Physical Therapy Management (current best evidence)[edit | edit source]

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Alternative/Holistic Management (current best evidence)[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Case Reports[edit | edit source]

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Resources
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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. Goodman CC, Fuller KS. Pathology: Implications for the Physical Therapist. 3rd ed. St. Louis, Missouri; Saunders Elsevier: 2009.
  2. Bacon RM, Kugeler KJ, Mead PS. Surveillance for Lyme Disease – United States, 1992-2006. CDC Morbidity and Mortality Weekly Report (MMWR) Surveillance Summaries. 2008; 57 (SS10): 1-9. Available at http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5710a1.htm.
  3. Lyme Disease. CDC Division of Vector-borne Infectious Diseases website. Available at http://www.cdc.gov/ncidod/dvbid/Lyme/. Accessed February 18, 2010.