The following are recognized features of Lyme disease:
A. Recurrent headacheB. 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.
