Diagnosis and Treatment of Lyme Disease

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Presentation transcript:

Diagnosis and Treatment of Lyme Disease Robert L. Bratton, MD, John W. Whiteside, MD, Michael J. Hovan, MD, Richard L. Engle, MD, Frederick D. Edwards, MD Mayo Clinic Proceedings Volume 83, Issue 5, Pages 566-571 (May 2008) DOI: 10.4065/83.5.566 Copyright © 2008 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 1 Reported cases of Lyme disease in the United States in 2005. Most cases were reported in New England (Connecticut, Rhode Island, New York, Pennsylvania, Delaware, New Jersey, Maryland, and Massachusetts) and in the Great Lakes region (Wisconsin and Minnesota). One dot is placed randomly within the county of residence for each reported case. From the Centers for Disease Control and Prevention.1 Mayo Clinic Proceedings 2008 83, 566-571DOI: (10.4065/83.5.566) Copyright © 2008 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 2 Reported cases of Lyme disease in the United States by year, 1991-2005. From the Centers for Disease Control and Prevention.1 Mayo Clinic Proceedings 2008 83, 566-571DOI: (10.4065/83.5.566) Copyright © 2008 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 3 Two-year life cycle of the deer tick (Ixodes scapularis). Humans are at greatest risk of infection from bites of the nymphal forms of the Ixodes tick in the spring and summer. From Backpacker,11 with permission. Mayo Clinic Proceedings 2008 83, 566-571DOI: (10.4065/83.5.566) Copyright © 2008 Mayo Foundation for Medical Education and Research Terms and Conditions

FIGURE 4 Characteristic bull's-eye or target shape of erythema migrans lesion in Lyme disease. Mayo Clinic Proceedings 2008 83, 566-571DOI: (10.4065/83.5.566) Copyright © 2008 Mayo Foundation for Medical Education and Research Terms and Conditions