Skip to main content

Lyme Disease

Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A multisystem infection caused by Borrelia spirochetes, transmitted primarily by ixodid ticks

    • Ixodes scapularis (deer ticks) in the New England and Great Lakes areas

    • Ixodes pacificus...

DIAGNOSIS

HISTORY

  • History of a tick bite followed by EM and/or illness. About 1/3 of patients recall tick bite.

  • Round, flat or raised, erythematous lesion that expands in diameter over days to weeks, ma...

TREATMENT

GENERAL MEASURES

Early and disseminated Lyme disease can usually be treated as an outpatient except when complicated by carditis or meningitis (requires parenteral antibiotics). 

MEDICATION

First Line

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

Patient Monitoring

Based on the severity of symptoms, patients with Lyme carditis, neurologic syndromes, or arthritis may require prolonged follow-up. 

DIET

No restr...

REFERENCES

1
Centers for Disease Control and Prevention. Lyme disease. https://www.cdc.gov/lyme/. Accessed August 25, 2017.
2
Marques A, Telford SRIII, Turk SP, et al. Xenodiagnosis to detect Borrelia bu...

ADDITIONAL READING

CODES

ICD10

  • A69.20 Lyme disease, unspecified

  • A69.23 Arthritis due to Lyme disease

  • A69.21 Meningitis due to Lyme disease

  • A69.22 Other neurologic disorders in Lyme disease

  • A69.29 Other conditions associated ...

CLINICAL PEARLS

  • The presence of EM following a tick bite in an endemic area is an indication for empiric antibiotic treatment for presumptive Lyme disease.

  • Repeat episodes of EM in appropriately treate...

Subscribe to Access Full Content

Sign Up for a 10-Day Free Trial

Sign up for a 10-day FREE Trial now and receive full access to all content.

 
×