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VIII.84 - Lyme Borreliosis (Lyme Disease)

from Part VIII - Major Human Diseases Past and Present

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
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Summary

Lyme borreliosis is a tick-borne spirochetal bacterial disease caused by Borrelia burgdorferi. Lyme borreliosis is a systemic illness with potential involvement of the skin, neurological, cardiac, and articular systems. It can mimic a variety of other diseases such as juvenile rheumatoid arthritis, multiple sclerosis, and syphilis.

Epidemiology

The disease is the most frequently diagnosed tick-transmitted illness in the United States. The three major geographic loci of Lyme disease in the United States are the Northeast and middle Atlantic coastal regions, the upper Midwest, and the Pacific Northwest. The disease is found in Europe, Australia, the former U.S.S.R., China, Japan, and several African countries. The vector of Lyme disease is the tick, Ixodes dammini, or related Ixodes ticks such as pacificus, scapularis, or ricinus. B. burgdorferi has been found in other ticks such as the Dermacentor variabilis, Amblyomma americanum, and Haemaphysalis leporispalustris; however, transmission has not been proved.

B. burgdorferi has been found in horseflies, deerflies, and mosquitoes, but proof that these insects are possible secondary vectors has not been established. The reservoirs of B. burgdorferi occur in animals parasitized by infected ticks. The Ixodes tick is a three-host tick with a life cycle of 2 years. Adult ticks mate and feed primarily on deer in late fall; the female deposits eggs on the ground, which produce larvae that are active late the following summer. The tiny larvae obtain a blood meal from infected rodents such as white-footed mice, shrews, chipmunks, and squirrels, which are primary reservoirs for B. burgdorferi. Ground foraging birds are also important hosts for the larvae and nymphs.

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Publisher: Cambridge University Press
Print publication year: 1993

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References

Afzelius, A. 1910. Verhandlungen der dermatologischen Gesellschaft zu Stockholm on October 28, 1909. Archives of Dermatology and Syphilis 101.Google Scholar
Anderson, John. 1988. Mammalian and avian reservoirs of Borrelia burgdorferi. In Lyme disease and related disorders, ed. Benach, Jorge and Bosler, Edward, 180–91. New York.Google Scholar
Bannwarth, A. 1941. Chronische lymphozytare Meningitis, entziindliche Polyneuritis und “Rheumatismus.”Archive von Psychiatry und Nervenkrankheit 113.Google Scholar
Buchwald, A. 1883. Ein Fall von diffuser idiopathischer Hautatrophie. Archives of Dermatology and Syphilis 10.Google Scholar
Burgdorfer, Willy, et al. 1982. Lyme disease – a tick–borne spirochetosis. Science 216: IB, 1317–19.CrossRefGoogle ScholarPubMed
Craft, Joseph E., and Steere, Allen C.. 1986. Lyme disease. In New frontiers in pediatric rheumatology, Proceedings of a symposium held on June 2, 1985 at the College of Physicians and Surgeons of Columbia University, New York, 38–42. New York.Google Scholar
Garin, Bujadoux C. 1922. Paralysie par les tiques. Journal of Medicine Lyon 71.Google Scholar
Hellerstrom, S. 1930. Erythema chronicum migrans Afzelii. Acta Dermatology Venereology (Stockholm) 11.Google Scholar
Johnson, Russell. 1988. Lyme borreliosis: A disease that has come into its own. Laboratory Medicine:34–40.Google Scholar
Lipschütz, B. 1913. Ueber eine seltene erythemform (erythema chronicum migrans). Archives Dermatology and Syphilis 118.Google Scholar
Magnarelli, Louis. 1986. The etiologic agent of Lyme disease in deer flies, horse flies, and mosquitoes. Journal of Infectious Diseases 154(2):.CrossRefGoogle ScholarPubMed
Markowitz, Lauri E., et al. 1986. Lyme disease during pregnancy. Journal of the American Medical Association 255(24):.Google ScholarPubMed
Pfister, H. W., et al. 1984. The spirochetal etiology of lymphocytic meningoradiculitis of Bannwarth (Bannwarth’s syndrome). Journal of Neurology 231.CrossRefGoogle Scholar
Steere, Allen C., and Malawista, Stephen E.. 1985. Lyme disease. In Textbook of rheumatology, Vol. 2, 2d edition, ed. Kelley, William N. et al., 1557–63. Philadelphia.Google Scholar
Weber, Klaus, et al. 1984. European erythema migrans disease and related disorders. Yale Journal of Biology and Medicine 57.Google ScholarPubMed

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