The following are recognized features of Lyme disease:
A. Recurrent headache
B. Seventh nerve facial palsy
C. Behavioural change
D. CSF neutrophil leukocytosis
E. Neutrophil pleocytois on CSF examination
A. Recurrent headache
B. Seventh nerve facial palsy
C. Behavioural change
D. CSF neutrophil leukocytosis
E. Neutrophil pleocytois on CSF examination
Ans. A,B,C,D,E
Borrelia Burgdoferi (spirochete).
It is a Zoonosis, with incubation period: 3-32 days.
Clinical
features:
Early - Localised: annular rash (erythema migrans),
fever,malaise, headache.
Late– Arthritis, waxing and waningover weeks (knee in 90%)
worsens over time.
Complications -Dehydration,encephalitis, polyneuritis,
impaired memory.
Disseminated: Haemotogenous spread, multiple small
skinlesions, conjunctivitis,nodes, aseptic meningitis, seventh nerve palsy.
