Lyme disease was discovered about four decades ago and has been studied extensively since. The disease is caused by a group of bacterial organisms known as spirochetes. There are many species that have been discovered to date. Persons suffering from the condition complain of a variety of symptoms such as painful joint swelling, skin lesions, chest pain and those related to central nervous system. In order to understand how to treat Lyme disease, one will need to have some basic knowledge on the illness itself.
The causative bacteria are transmitted by ticks living on deer as parasites. A bite from the tick introduces bacteria into the blood stream. This gives rise to the first phase of the illness. The organisms incubate for a brief period of days or weeks before giving rise to the full blown illness, the second phase. The rate of progression depends on the amount of bacteria released during the bite.
The initial phase of the illness is characterised by flu like illness which lasts for a few days. During this period, the bacteria undergo incubation to produce the second phase of the illness. This phase is more aggressive and may manifest as arthritis, meningitis or cerebral palsy. Clinical history is the main method that is used in making the diagnosis. In a number of cases, there is formation of specific antibodies which can also be used for diagnosis.
A special technique, ELISA, is used in the detection of the antibodies. It is important to remember that antibodies may be detected in blood in the absence of an illness. They tend to remain in the blood stream even when the patient has been treated and cured. Interpretation of a positive result should therefore be treated with a lot of caution. The nonspecific nature of the illness is another major challenge as it resembles other diseases.
The treatment of this illness is mainly by use of antibiotics. There are many types of antibiotics that are used with the choice being determined by the severity and area of body involved. Oral drugs are good enough for the early disease. Intravenous drugs, on the other hand, are preferred when treating more advanced disease. Treatment that is started early gives better outcomes.
Some of the oral antibiotics that are used for this purpose include doxycycline, amoxicillin and cefuroxime. They are very effective for the early disease especially when started in good time. Doxycycline is, however, unsafe for pregnant women and young children and is not used for these groups. The commonly used antibiotics include penicillin G and ceftriaxone. They are most effective for second phase of illness.
Other drugs that are used are mainly for supportive treatment. For instance pain relieving drugs are often necessary for the pain associated with joint swelling. These drugs also help in reducing the associated inflammation. For the severely swollen joints, drainage of joint fluid is usually useful.
Research has established that this illness has the highest incidence among children 5 to 14 years. Another peak is at 40 to 50 years among adults. The biggest risk factor to contracting this illness is living in an area with tick infested deer. Fortunately, transmission does not occur through contact or across the placenta.
The causative bacteria are transmitted by ticks living on deer as parasites. A bite from the tick introduces bacteria into the blood stream. This gives rise to the first phase of the illness. The organisms incubate for a brief period of days or weeks before giving rise to the full blown illness, the second phase. The rate of progression depends on the amount of bacteria released during the bite.
The initial phase of the illness is characterised by flu like illness which lasts for a few days. During this period, the bacteria undergo incubation to produce the second phase of the illness. This phase is more aggressive and may manifest as arthritis, meningitis or cerebral palsy. Clinical history is the main method that is used in making the diagnosis. In a number of cases, there is formation of specific antibodies which can also be used for diagnosis.
A special technique, ELISA, is used in the detection of the antibodies. It is important to remember that antibodies may be detected in blood in the absence of an illness. They tend to remain in the blood stream even when the patient has been treated and cured. Interpretation of a positive result should therefore be treated with a lot of caution. The nonspecific nature of the illness is another major challenge as it resembles other diseases.
The treatment of this illness is mainly by use of antibiotics. There are many types of antibiotics that are used with the choice being determined by the severity and area of body involved. Oral drugs are good enough for the early disease. Intravenous drugs, on the other hand, are preferred when treating more advanced disease. Treatment that is started early gives better outcomes.
Some of the oral antibiotics that are used for this purpose include doxycycline, amoxicillin and cefuroxime. They are very effective for the early disease especially when started in good time. Doxycycline is, however, unsafe for pregnant women and young children and is not used for these groups. The commonly used antibiotics include penicillin G and ceftriaxone. They are most effective for second phase of illness.
Other drugs that are used are mainly for supportive treatment. For instance pain relieving drugs are often necessary for the pain associated with joint swelling. These drugs also help in reducing the associated inflammation. For the severely swollen joints, drainage of joint fluid is usually useful.
Research has established that this illness has the highest incidence among children 5 to 14 years. Another peak is at 40 to 50 years among adults. The biggest risk factor to contracting this illness is living in an area with tick infested deer. Fortunately, transmission does not occur through contact or across the placenta.
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