Lyme disease - chronic persistent
Definition
Chronic persistent Lyme disease is a late stage of an inflammatory disease caused by the bacterium Borrelia burgdorferi.
See also:
Alternative Names
Tertiary Lyme disease; Stage 3 Lyme disease; Late persistent Lyme disease
Causes
Lyme disease is transmitted by the bite of a deer tick. Tertiary Lyme disease occurs months to years after the initial infection with Lyme disease.
Symptoms
Chronic persistent Lyme disease can affect the skin; brain and nervous system; and muscles, bones, and cartilage.
Symptoms include:
Other symptoms that may be associated with this disease:
Exams and Tests
- ELISA shows antibodies to Borrelia burgdorferi. A Western blot test is done to confirm ELISA results.
- Spinal tap will be abnormal if central nervous system signs are present.
Treatment
The objective of treatment is to eliminate the infection with antibiotic therapy. Medications sometimes need to be given through a vein (intravenous).
Outlook (Prognosis)
Arthritis symptoms may not get better with treatment. Other symptoms should improve with treatment.
Possible Complications
When to Contact a Medical Professional
Call your health care provider if you develop symptoms, especially if you have had Lyme disease before, or live or travel in high-risk areas.
Prevention
Early diagnosis and appropriate antibiotic treatment for primary Lyme disease is the most effective way to prevent tertiary Lyme disease.
Review Date:
11/1/2007
Reviewed By:
Kenneth M. Wener, M.D., Department of Infectious Diseases, Lahey Clinic, Burlington, MA. Review provided by VeriMed Healthcare Network.
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