Ticking
Season(s) in which tick bites more
Spring and Fall
rash that appears at the site of the tick bite, usually within 7 to 14 days after the bite
EM Erythema Migrans
Organism that causes Lyme disease
Borrelia burgdorferi
antibiotic of choice for Early Localized Lyme disease
doxycycline
Tick(s) (in Canada) that transmit(s) Borrelia burgdorferi
Ixodes scapularis (Deer Tick)
Ixodes pacificus (western black-legged tick)
Clinical stages of LD characterized by multiple EM lesions (days to weeks after infection) and/or neurologic and/or cardiac findings (weeks to months after infection)
Early disseminated disease
most common cranial nerve affected in LD
Facial Nerve
Repellent of first choice by the Public Health Agency of Canada’s Canadian Advisory Committee on Tropical Medicine and Travel for travellers six months to 12 years of age
Icaridin
woodland areas, live in tall grasses
breeding ground of ticks
This stage of disease is associated with intermittent or persistent (=/>1 large joints, sometimes preceded by migratory arthralgias), and/or neurologic problems, primarily a subtle encephalopathy or polyneuropathy. Develop months to a few years after the initial infection.
Late Lyme disease
additional treatment for persistent, inflammatory, proliferative synovitis despite treatment with oral and IV antibiotic therapy
DMARDS (Methotrexate)
Antibiotic of choice for Lyme Carditis with prolonged PR interval
Ceftriaxone
Tick life cycle stage that causes the majority of Lyme disease cases
(Hint stages: egg, larva, nymph, adult)
nymph
Referred to as persistent, nonspecific symptoms after recommended antibiotic therapy for Lyme disease
Post treatment LD Syndrome
and
Chronic LD
LD was first described in this year as Lyme Arthritis
1977
Best biopesticide repellent
oil of lemon eucalyptus