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Lyme disease.

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Abstract

PURPOSE:

To review the presentation, treatment, and prevention of
Lyme disease in primary care.

DATA SOURCES:

Selected articles from the scientific literature and the Centers for
Disease Control.

CONCLUSIONS:

Lyme disease is a tick-borne, multisystem inflammatory
disease with worldwide distribution caused by the spirochete Borrelia burgdorferi.
Lyme disease is initially characterized by a spreading, annular erythema migrans skin rash and can disseminate to the musculoskeletal, neurologic, or cardiovascular system. Stages of the
disease present with varying clinical manifestations.

IMPLICATIONS FOR PRACTICE:

Treatment of
Lyme disease with appropriate antimicrobial therapy should be prompt in order to avoid debilitating outcomes. Awareness of the many presentations of
Lyme disease in endemic areas may facilitate a timely diagnosis and appropriate treatment.

J Am Acad Nurse Pract. 2001 May;13(5):223-6; quiz 227-8. Review

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