Lyme Disease: What the Wilderness Provider Needs to Know

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Presentation transcript:

Lyme Disease: What the Wilderness Provider Needs to Know Joseph D. Forrester, MD, MSc, J. Priyanka Vakkalanka, ScM, Christopher P. Holstege, MD, Paul S. Mead, MD, MPH Wilderness & Environmental Medicine Volume 26, Issue 4, Pages 555-564 (December 2015) DOI: 10.1016/j.wem.2015.05.001 Copyright © 2015 Terms and Conditions

Figure 1 Ixodes scapularis life forms. Dime is provided for size reference (figure courtesy of CDC). Wilderness & Environmental Medicine 2015 26, 555-564DOI: (10.1016/j.wem.2015.05.001) Copyright © 2015 Terms and Conditions

Figure 2 Lifecycle of the Ixodes scapularis tick (figure courtesy of CDC). Wilderness & Environmental Medicine 2015 26, 555-564DOI: (10.1016/j.wem.2015.05.001) Copyright © 2015 Terms and Conditions

Figure 3 Adult Ixodes scapularis questing (figure courtesy of CDC). Wilderness & Environmental Medicine 2015 26, 555-564DOI: (10.1016/j.wem.2015.05.001) Copyright © 2015 Terms and Conditions

Figure 4 Reported cases of Lyme disease in the United States by county of residence, 2012. One dot is placed randomly within the county of residence for each confirmed case (figure courtesy of CDC). Wilderness & Environmental Medicine 2015 26, 555-564DOI: (10.1016/j.wem.2015.05.001) Copyright © 2015 Terms and Conditions

Figure 5 Erythema migrans lesion, left underarm (figure courtesy of CDC). Wilderness & Environmental Medicine 2015 26, 555-564DOI: (10.1016/j.wem.2015.05.001) Copyright © 2015 Terms and Conditions

Figure 6 Degree of Ixodes scapularis nymph engorgement by duration of feed. A millimeter bar is provided for size reference (figure courtesy of CDC). Wilderness & Environmental Medicine 2015 26, 555-564DOI: (10.1016/j.wem.2015.05.001) Copyright © 2015 Terms and Conditions