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 vector ticks that play a central in the transmission are parasites of deer in many geographical regions of the world. One a human is bitten by these ticks the bacteria are released into the blood stream where they begin to incubate. As a result, the disease typically has two phases; an early brief phase that is localised and a prolonged systemic late phase.
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.
Antibodies to the bacteria are detected using a special technique known as ELISA. The use of the antibodies has the downside of giving a number of false positive results. This is because the antibodies remain to circulate in the body. This means that their presence in the body should be treated with caution. The other major challenge to diagnosis is the fact that the symptoms are at times nonspecific and the disease may be misdiagnosed for rheumatoid arthritis.
Treatment is mainly through the use of antibiotics. There are numerous antibiotics that are very effective and the choice depends on disease severity and the area of the body that has been affected. Oral drugs have been found to be highly effective for early phase illness while intravenous drugs are useful in the advanced forms of the disease. The most important thing to remember here is that prompt treatment has 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.
Analgesic drugs also have a role to play because of the associated complications. They are particularly useful in managing cases such as arthtris. If the joint swelling is very severe, aspiration of joint fluid may help. It should be pointed out that all treatments should be initiated and monitored by a qualified health professional.
The incidence of this condition is highest among children aged 5 to 14 years and adults in the fifth decade of life. The most significant risk factor is living in area that is infested with the vector ticks. It should be noted that the disease is not contagious. It is also not transmitted through the placenta of an infected mother to their unborn children.
The vector ticks that play a central in the transmission are parasites of deer in many geographical regions of the world. One a human is bitten by these ticks the bacteria are released into the blood stream where they begin to incubate. As a result, the disease typically has two phases; an early brief phase that is localised and a prolonged systemic late phase.
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.
Antibodies to the bacteria are detected using a special technique known as ELISA. The use of the antibodies has the downside of giving a number of false positive results. This is because the antibodies remain to circulate in the body. This means that their presence in the body should be treated with caution. The other major challenge to diagnosis is the fact that the symptoms are at times nonspecific and the disease may be misdiagnosed for rheumatoid arthritis.
Treatment is mainly through the use of antibiotics. There are numerous antibiotics that are very effective and the choice depends on disease severity and the area of the body that has been affected. Oral drugs have been found to be highly effective for early phase illness while intravenous drugs are useful in the advanced forms of the disease. The most important thing to remember here is that prompt treatment has 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.
Analgesic drugs also have a role to play because of the associated complications. They are particularly useful in managing cases such as arthtris. If the joint swelling is very severe, aspiration of joint fluid may help. It should be pointed out that all treatments should be initiated and monitored by a qualified health professional.
The incidence of this condition is highest among children aged 5 to 14 years and adults in the fifth decade of life. The most significant risk factor is living in area that is infested with the vector ticks. It should be noted that the disease is not contagious. It is also not transmitted through the placenta of an infected mother to their unborn children.
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