Article: Lyme Disease: Diagnostic Challenge, Treatment Enigma.

Lyme Disease: Diagnostic Challenge, Treatment Enigma

By Joan Unger, RN, MS, ARNP-C

Summary-Sixty percent of patients seen at the Yale University Lyme Disease Clinic had no evidence of current or previous infection, and 19% had previous but no active disease. Only 21% had active Lyme disease (LD). In spite of this number, 75% (94) had received a total of 232 courses of antibiotic treatment. Sixty-nine patients with no evidence of LD (55%) had at least one minor adverse drug reaction.

* LD is transmitted by tick bite and affects multiple body systems. It usually presents with a typical bull's-eye rash, often accompanied by flu-like symptoms.

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