Information on Lyme Disease from the National Institute of Allergy & Infectious Diseases
Lyme disease (borreliosis) is the most prevalent tickborne infectious disease in the United States. The disease is caused by a spiral-shaped bacterium, Borrelia burgdorferi, and transmitted to humans by the black-legged tick, Ixodes scapularis. Read more at the National Institute of Allergy & Infectious Diseases.
Information on Lyme disease at the Center for Disease Control
Read about prevention, transmission, symptoms, diagnosis, treatment, statistics, and more at the Center for Disease Control.
Information on Lyme Disease from Johns Hopkins Arthritis Center
The diagnosis of Lyme disease is clinical, and the diagnostician must consider many types of evidence. The history is very important to the diagnosis of the disease (e.g., opportunity for tick exposure? live or work in endemic area? recent tick bites?). The temporality and pattern of the development of symptoms is critical to the diagnosis. Many patients have access to scientific and lay publications on Lyme disease, and use a "check list" approach to self-diagnosis, by circling the several symptoms that they have experienced...Read more at Johns Hopkins.
Lyme disease: Essentials at Consumer Reports
What is it? What are the symptoms? How common is it? What will happen? Key points about treatments at Consumer Reports.
Erythema Migrans Lesions of Lyme Disease
Photographs of three different erythema migrans lesions
Tutorial - The Complexities of Lyme Disease
Read a technical but informative Microbiology Tutorial by Thomas M. Grier M.Sc. At the Canadian Lyme disease Foundation.
Quiz: Take the CBS News Interactive Quiz on Lyme Disease
Take a short lyme disease quiz at CBS News.
Video: Proper tick removal
View the American Lyme Disease Foundation's Educational Videos.
Video: Lyme Disease - A Clear and Present Danger
Brief interviews with Lyme sufferers. Watch the video at the LymeProject.
Podcast: Alzheimer's Disease and Borrelia
Dr. Alan B. MacDonald talks on the clear molecular link between Alzheimer's Disease and borrelia at the Canadian Lyme Disease Foundation.
Podcast: Get Ticks Off
Dr. Paul Mead discusses the causes and prevention of Lyme disease, an illness caused by the bite of an infected tick. Listen at the Center for Disease Control.
Treatment Guidelines from the International Lyme and Associated Diseases Society
The International Lyme and Associated Diseases Society (ILADS) released the first evidence-based comprehensive set of Lyme Disease Treatment Guidelines to assist physicians, public health officials and organizations involved in the evaluation and treatment of Lyme disease. The Lyme Disease Association (national) and the California Lyme Disease Association endorsed the Guidelines which were then peer-reviewed and made available to professionals and to the public.
Infectious Diseases Society of America practice guidelines for clinical assessment, treatment and prevention of Lyme disease, human granulocytic anaplasmosis, and babesiosis.
Guideline Objectives: To provide clinicians and other health care practitioners with recommendations for the management of patients in the United States with suspected or established Lyme disease, human granulocytic anaplasmosis (HGA, formerly known as human granulocytic ehrlichiosis), or babesiosis; To provide recommendations for prevention of these infections, all of which may be transmitted by certain species of Ixodes ticks. See National Guideline Clearinghouse major recommendations.
Evidence-based guidelines for the management of Lyme disease.
Guideline Objectives: To serve as a resource for physicians, public health officials, and organizations involved in the evaluation and treatment of Lyme disease; To present practitioners with practical and defensible guidelines for treating all individuals with Lyme disease including those with persistent, recurrent and relapsing symptoms of Borrelia burgdorferi infection. See National Guideline Clearinghouse major recommendations.
Chronic Lyme Disease: An appraisal
‘Chronic Lyme disease’ is a confusing term that has been used to describe very different patient populations. Studies have shown that most patients diagnosed with ‘chronic Lyme disease’ either have no objective evidence of previous or current infection with B. burgdorferi or are patients that should be classified as having post-Lyme disease syndrome, which is defined as continuing or relapsing non-specific symptoms (such as fatigue, musculoskeletal pain, and cognitive complaints) in a patient previously treated for Lyme disease. Despite extensive study, there is currently no clear evidence that post-Lyme disease syndrome is due to persistent infection with B. burgdorferi. Four randomized placebo-controlled studies have shown that... Full text available free through PubMed.
Abstract: Implications of gender in chronic Lyme disease.
"Post-Lyme disease syndrome" refers to prolonged subjective symptoms after antibiotic treatment and resolution of an objective manifestation of Borrelia burgdorferi infection (Lyme disease). "Chronic Lyme disease" is a vaguely defined term that has been applied to patients with unexplained prolonged subjective symptoms, whether or not there was or is evidence of B. burgdorferi infection. OBJECTIVE: To determine if the population of patients with chronic Lyme disease differs from the populations of patients with either Lyme disease or post-Lyme disease syndrome by examining the gender of patients with these diagnoses. See Abstract at PubMed.
Effect of Climate Change on Lyme Disease Risk in North America
An understanding of the influence of climate change on Ixodes scapularis, the main vector of Lyme disease in North America, is a fundamental component in assessing changes in the spatial distribution of human risk for the disease...This report predicts the effect of climate change on Lyme disease risk and specifically forecasts the emergence of a tick-borne infectious disease in Canada. Our modeling approach could thus be used to outline where future control strategies and prevention efforts need to be applied. Full text available free through PubMed.
Diagnostic challenges of early Lyme disease: Lessons from a community case series
Lyme disease is a multisystem infection caused by the spirochete Borrelia burgdorferi sensu stricto in North America. With over 27,000 new cases reported yearly, Lyme disease is the most commonly reported vector-borne disease in the United States, with the number of reported cases more than doubling between 1992 and 2006 . Additional studies have shown that actual cases of Lyme disease may exceed reported cases by a factor of 6 to 12 in endemic areas [2,3]. The hallmark of early disease is a localized skin infection, erythema migrans (EM), which occurs at the site of the bite of an infected tick. Accurate identification of this rash is essential to a correct diagnosis, as serology is negative in 60% of patients early in infection when initial evaluation is likely to occur . Full text available free through PubMed.
Abstract: Psychiatric comorbidity and other psychological factors in patients with "chronic Lyme disease".
BACKGROUND: There is no evidence of current or previous Borrelia burgdorferi infection in most patients evaluated at university-based Lyme disease referral centers. Instead, psychological factors likely exacerbate the persistent diffuse symptoms or "Chronic Multisymptom Illness" (CMI) incorrectly ascribed to an ongoing chronic infection with B. burgdorferi. The objective of this study was to assess the medical and psychiatric status of such patients and compare these findings to those from patients without CMI. See Abstract at PubMed.
Abstract: A randomized, placebo-controlled trial of repeated IV antibiotic therapy for Lyme encephalopathy.
BACKGROUND: Optimal treatment remains uncertain for patients with cognitive impairment that persists or returns after standard IV antibiotic therapy for Lyme disease. METHODS: Patients had well-documented Lyme disease, with at least 3 weeks of prior IV antibiotics, current positive IgG Western blot, and objective memory impairment. Healthy individuals served as controls for practice effects. Patients were randomly assigned to 10 weeks of double-masked treatment with IV ceftriaxone or IV placebo and then no antibiotic therapy. The primary outcome was neurocognitive performance at week 12-specifically, memory. See Abstract at PubMed.
Looking for a Top-Rated
Primary Care Physician, Rheumatologist, or Neurologist?
Consumers' Guide to Top Doctors finds the Doctors Rated Best by other Doctors
To find out who the top doctors are around the country, nonprofit Consumers' CHECKBOOK surveyed roughly 340,000 physicians to tell us which specialists they would want to care for a loved one. The Top Doctors database contains the names of over 23,000 doctors who were mentioned most often. Find top-rated doctors in the fifty largest metropolitan areas, in over thirty-five specialties, and more.
Lyme disease tick
Consumers' Guide to Top Doctors finds the Doctors Rated Best by other Doctors in over 30 specialties.
database of 23,000 top-rated physicians by
Doctors database of 23,000 top-rated
(over 35 different fields included) Specialty
Source: Maryland Department of Health and Mental Hygiene/CDC
Tick Removal Technique
Consumers' Guide to Hospitals
Which Hospital Should You Choose (or Avoid)?
What makes the Consumers' Guide to Hospitals so special?
We've got 30 million answers to that question. That's how many hospital records Consumers' CHECKBOOK sifted through to calculate risk-adjusted death rates and adverse-outcome rates, and that's just part of the data used to rate the hospitals. The organization also sent out more than 280,000 questionnaires to physicians in 53 major metropolitan areas in the United States, asking them to rate their local hospitals; checked ratings of the hospitals by surveyed consumers; checked which hospitals were providing recommended tests and procedures for patients with specified medical problems; and more."
AARP The Magazine