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Lecture medical microbiology

5 important questions on Lecture medical microbiology

What causes Lyme arthritis

Borrelia burgodorferi (sperichete)

What antibodies will you find in lyme arthritis

Oftenly IgM and IgG (elisa test)

What are early localized, early disseminated and late disseminated signs of Lyme disease.

Early signs: erythema migrans, borrelia lymphocytemia. Early disseminated: multiple erythema migrans, early meningitis, myocarditis, Lyme arthritis. Late disseminated: acrodermatitis ; late neuroborreliosis: dilated cardiomyopathy, polyarthtis.

How does the treatment look of early localized, early disseminated, late disseminated lyme disease?

• Early localised:
– Doxycycline 2dd 100mg 14 days orally.
• Early disseminated:
– Ceftriaxon 1dd2 gram i.v. 14 days
– Doxycycline 2dd100mg 21 days orally.
• Late disseminated:
– Ceftriaxon 1dd2 gram i.v. 30 days
– Doxycycline 2dd 100mg 30 days orally.
– Ceftriaxon is preferred in case of neuroborreliosis and lymecarditis
• Prophylaxis: preferably within 72 hrs after of the tick

What are main symptoms of arthritis? And what is the treatment?

It can happen in adults or children, it is mono arthritis of often the knee, usually a good prognosis treatment. Doxycyclin 2dd 100 mg for 20 days. Children amoxicillin for 30 days. Alternative is ceftriaxon IV for 14 days.

The question on the page originate from the summary of the following study material:

Thema 2.1

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