Lyme Disease Research Paper

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Recommended: Emerging disease lymes disease

Kristie Benejan
05/11/2018
Lyme Disease in the United States
Part 1: Epidemiological sheet:
• Causative Agent: Borrelia burgdorferi (2); spirochete bacteria (5)
• Route of Transmission: Via a tick bite: Ixodes scapularis (US and Canada) and Ixodes pacificus (pacific coast) (3)(5)
• Population: o United States: 96% of cases found in 14 states mainly located in the North East (including Connecticut, Maryland, Main, Delaware, and others) o International: Found in Asia (China, Korea, Japan) and Europe (Scandinavia, Germany) o Common in children ages 5-14 and adults ages 45-54 but most likely do to increase level of outdoor activities rather than immune susceptibility (5)
• Seasonality: Highest peak of cases in the months of June and July (2)
• Incidence: There about 30,000 reported cases reported to the CDC yearly (2), however, two survey studies of Clinical Laboratories in the US reported testing for Lyme Disease 2-3.4 million times with 288,000 to 329,000 positive tests annually (1)(6)
• Clinical Presentation: o Stage 1 Disease (1-30 days after bite): Localized Erythema Migrans (bullseye appearance rash) that occurs on average 7 days after tick bite. Patient may develop flu like symptoms (low grade fever, chills, myalgia) within the first week of the bite and concentric rings as the rash expands. …show more content…

He noticed the rash 4 days ago but is uncertain when it truly began. He went on a hiking retreat at Wharton state forest about two weeks ago and since then believes he has had seasonal allergies and has felt a little “hot.” Patient is in good health and does not have any medical problems. Upon examination, a rash of bull’s eye appearance measuring 7 cm in diameter was noted on the patient’s right shoulder. Serological testing was submitted for Lyme disease which were positive for the tick-borne

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