The Lyme disease

Lyme disease.

Tick borne disease transmitted through (ixodes scapularis) bite, pic 3

The Causative organism is (BORRELIA BURGDORFERI)

The tick must get attached to the skin for 48 hours to cause the disease.

Clinical scenario is in 3 stages…
1: stage of rash,
ERYTHEMA CHRONICUM MIGRANS
Bulls eye rash, pic 1.
Very characteristic early finding but not surely present.
Also flu like symptoms.

2:
(Facial nerve palsy) with deviation of one half of the face to the sound side as in pic 2.
(AV block) as the EKG implies.

3:serious findings
Neuropathy like paraesthesia
Encephalopathy
Arthritis

Treatment,
Docxycycline or ceftriaxone.