Lyme Neuroborreliosis
Lyme Disease
Borrelia burgdorferi Group
Cerebrospinal Fluid
Bell Palsy
Facial Paralysis
Borrelia burgdorferi
Borrelia
Mononeuropathies
Chemokine CXCL13
Cosyntropin
Erythema Chronicum Migrans
Encyclopedias as Topic
Ticks
Genetic analysis of Borrelia garinii OspA serotype 4 strains associated with neuroborreliosis: evidence for extensive genetic homogeneity. (1/80)
Infection with Borrelia garinii outer surface protein (Osp) A serotype 4 strains has been correlated with the development of neuroborreliosis in Lyme borreliosis patients in Europe. OspA serotype 4 isolates have been recovered primarily from human cerebrospinal fluid, suggesting a tropism for this environment. Previous studies with monoclonal antibodies directed against OspA and OspC demonstrated that OspA serotype 4 strains are antigenically closely related. In view of the pronounced antigenic and genetic variability that has been noted in the Osps of other Borrelia isolates, we sought to determine if OspA serotype 4 strains represent a recently emerged clonal lineage of B. garinii. Toward this goal, a representative group of OspA serotype 4 strains was analyzed for traits that typically exhibit hypervariability among isolates that cause Lyme borreliosis. The following criteria were assessed: (i) ospC sequences, (ii) plasmid composition, (iii) genomic restriction fragment length polymorphism (RFLP) patterns, and (iv) the RFLP patterns of the upstream homology box (UHB) element which flanks members of the UHB gene family at their 5' end. Collectively, these analyses demonstrate genetic homogeneity, suggesting that OspA serotype 4 strains are a recently emerged clonal lineage with an apparent tropism for the central nervous system. (+info)Scored antibody reactivity determined by immunoblotting shows an association between clinical manifestations and presence of Borrelia burgdorferi sensu stricto, B. garinii, B. afzelii, and B. Valaisiana in humans. (2/80)
An immunoglobulin G immunoblot was developed with antigenic extracts of Borrelia burgdorferi sensu stricto, B. garinii, B. afzelii, and B. valaisiana genospecies and was reacted with sera from patients with neuroborreliosis, acrodermatitis, and Lyme arthritis. A detailed analysis of the reactivities of the protein bands was performed, and a two-step scoring procedure was selected to determine the preferential reactivity of sera to one particular genospecies. The discriminative potential of 5 proteins (12-kDa, 16-kDa, 18-kDa, OspA, and 66-kDa proteins) was used as a rapid first-step scoring method, followed by scoring of 14 additional protein bands if necessary. The advantage of this procedure is the low percentage of serum samples with inconclusive results for one of the four species (10% for patients with neuroborreliosis, 6% for patients with acrodermatitis chronica atrophicans, and 6% for patients with Lyme arthritis). Among 31 serum samples from patients with neuroborreliosis, 16 were more reactive to B. garinii, 7 were more reactive to B. afzelii, 3 were more reactive to B. valaisiana, and 2 were more reactive to B. burgdorferi sensu stricto. Of 31 serum samples from patients with acrodermatitis, 26 showed a higher level of reactivity to B. afzelii. Of 34 serum samples from patients with Lyme arthritis, 21 were more reactive to B. burgdorferi sensu stricto, 10 were more reactive to B. afzelii, and 1 was more reactive to B. valaisiana. Our results suggest an organotropism of Borrelia species and provide some evidence of a pathogenic potential of B. valaisiana in humans. (+info)Increased IgA rheumatoid factor and V(H)1 associated cross reactive idiotype expression in patients with Lyme arthritis and neuroborreliosis. (3/80)
OBJECTIVE: To investigate whether autoreactive mechanisms occur in Lyme disease (LD) by determining IgA, IgG and IgM rheumatoid factor (RF) concentrations and RF associated cross reactive idiotype (CRI) expression in the serum of LD patients, with comparison to patients with rheumatoid arthritis (RA). METHODS: The RF isotype profiles were determined in 59 patients with LD; erythema migrans (EM) (n=19), neuroborreliosis (NB) (n=20) and Lyme arthritis (LA) (n=20). Mouse monoclonal antibodies (mAbs) G6 and G8 (V(H)1 gene associated), D12 (V(H)3 gene associated) and C7 (V(kappa)III gene associated) were then used to determine the RF associated CRI expression on IgM antibodies in 16 of these LD patients (eight seropositive for RF); (EM (n=3), NB (n=6), LA (n=7)). RESULTS: Seven (18%) patients with either NB or LA had increased concentrations of IgA RF compared with none with EM. Significant differences in the number of patients with raised concentrations of IgG RF or IgM RF were not found between the LD patient groups. Five (3NB, 1LA and 1 EM) (31%) and three (2NB and 1LA) (19%) of LD patients had raised concentrations of the CRIs recognised by mAbs G6 and G8, respectively. These CRIs were detected in LD sera both with and without raised concentrations of RF and were not demonstrated on anti-Borrelia burgdorferi antibodies using ELISA. No LD sera tested had raised concentrations of the determinants recognised by mAbs C7 or D12. CONCLUSION: Significantly raised concentrations of IgA RF and increased use of V(H)1 germline gene associated CRIs are found on IgM antibodies in the serum of LD patients. These data indicate the recruitment of autoreactive B lymphocytes in some patients with the later stages of LD. (+info)Epitope mapping of the immunodominant invariable region of Borrelia burgdorferi VlsE in three host species. (4/80)
VlsE, the variable surface antigen of Borrelia burgdorferi, contains a 26-amino-acid-long immunodominant invariable region, IR(6). In the present study, three overlapping 14-mer peptides reproducing the sequence of IR(6) were used as peptide-based enzyme-linked immunosorbent assay antigens to map this invariable region in infected monkeys, mice, and human Lyme disease patients. Antibodies of the two primate species appeared to recognize IR(6) as a single antigenic determinant, while mouse antibodies recognized multiple epitopes within this region. (+info)Primarily chronic and cerebrovascular course of Lyme neuroborreliosis: case reports and literature review. (5/80)
As part of an ongoing study aiming to define the clinical spectrum of neuroborreliosis in childhood, we have identified four patients with unusual clinical manifestations. Two patients suffered from a primarily chronic form of neuroborreliosis and displayed only non-specific symptoms. An 11 year old boy presented with long standing symptoms of severe weight loss and chronic headache, while the other patient had pre-existing mental and motor retardation and developed seizures and failure to thrive. Two further children who presented with acute hemiparesis as a result of cerebral ischaemic infarction had a cerebrovascular course of neuroborreliosis. One was a 15 year old girl; the other, a 5 year old boy, is to our knowledge the youngest patient described with this course of illness. Following adequate antibiotic treatment, all patients showed substantial improvement of their respective symptoms. Laboratory and magnetic resonance imaging findings as well as clinical course are discussed and the relevant literature is reviewed. (+info)False-negative serology in patients with neuroborreliosis and the value of employing of different borrelial strains in serological assays. (6/80)
The risk of obtaining false-negative results in serological assays in serum and CSF specimens with only one strain of Borrelia burgdorferi sensu lato as antigen was investigated in 79 patients with neuroborreliosis with specimens obtained at initial presentation. Serum antibodies were assessed by immunoblotting; the criteria of Hauser et al. were used to evaluate the test. The intrathecal synthesis of borrelial-specific IgM and IgG antibodies was examined by enzyme immunoassay (EIA). Strains of B. burgdorferi sensu stricto (BbZ160), B. garinii (Bbii50) and B. afzelii (PKO) served as sources of antigen in both assays. All patients produced either a positive IgM or IgG test in serum with at least one strain of B. burgdorferi sensu lato. Reactivity of IgM or IgG antibodies, or both, with antigens of all three strains was demonstrated in 67 (85%) of 79 sera. The correlation of results of immunoblotting with different strains was significantly better for IgG (85%) than for IgM antibodies (54%). The variability of positive IgM reactions in 18 specimens was mainly due to the fact that the antibodies were directed to the relevant variable outer-surface protein C (p23). Intrathecal synthesis of IgG antibodies was demonstrated in 58 patients (81%) of 72 and of IgM antibodies in 25 of 58 patients. No patient had isolated intrathecal synthesis of IgM antibodies. The majority of CSF samples (56 of 58) were assessed as IgG antibody-positive, independent of the borrelial strain used as antigen in EIA, whereas only 10 of 25 IgM antibody-positive CSF specimens reacted with all three strains. All patients in the study had intrathecal antibody synthesis demonstrable at 6-week follow-up. From this study it is concluded that there is a small, but real, risk of false-negative serological findings at the time of initial clinical presentation in patients with typical symptoms of neuroborreliosis. In these patients a negative serological result with one strain should prompt the repetition of the test with other strains of B. burgdorferi sensu lato. (+info)Two subsets of dendritic cells are present in human cerebrospinal fluid. (7/80)
Little is known about the presence of dendritic cells in the human CNS. To investigate the occurrence of dendritic cells in the CSF, paired blood/CSF samples from patients with multiple sclerosis, acute optic neuritis, Lyme neuroborreliosis, other inflammatory neurological diseases and non-inflammatory neurological diseases were examined using flow cytometry. Almost all CSF samples contained myeloid (lin-CD11c+HLA-DR++CD123(dim)) and plasmacytoid (lin-CD11c-HLA-DR+CD123(high)) dendritic cells. In non-inflammatory neurological diseases, dendritic cells of either subset only constituted up to 1% of CSF mononuclear cells. Myeloid CSF dendritic cells were elevated in optic neuritis, neuroborreliosis and other inflammatory neurological disorders, while plasmacytoid dendritic cells were elevated in all neuroinflammatory conditions studied, with especially high numbers in neuroborreliosis. Numbers of CSF dendritic cells correlated with the common parameters of CNS inflammation. The myeloid dendritic cells in CSF expressed higher levels of HLA-DR, CD86, CD80 and CD40 than those in blood, whereas expression of these molecules by plasmacytoid dendritic cells was equal in blood and CSF. Both CSF and blood dendritic cells expressed the chemokine receptor CCR5. This is the first demonstration that dendritic cells are present in human CSF and that plasmacytoid dendritic cells are present in a non-lymphoid compartment. Myeloid and plasmacytoid dendritic cells in CSF may contribute to orchestration of the local immune responses. (+info)Lyme borreliosis in rhesus macaques: effects of corticosteroids on spirochetal load and isotype switching of anti-borrelia burgdorferi antibody. (8/80)
Experimental Borrelia burgdorferi infection of rhesus monkeys is an excellent model of Lyme disease and closely parallels the infection in humans. Little is known about the interaction of host immunity with the spirochete in patients with chronic infection. We hypothesized that rapid development of anti-B. burgdorferi antibody in immunocompetent nonhuman primates (NHPs) is the major determinant of the reduction of the spirochetal load in Lyme borreliosis. This hypothesis was tested by measurement of the spirochetal load by PCR in association with characterization of the anti-B. burgdorferi humoral immune response in immunocompetent NHPs versus that in corticosteroid-treated NHPs. Although anti-B. burgdorferi immunoglobulin G (IgG) antibody was effectively inhibited in dexamethasone (Dex)-treated NHPs, anti-B. burgdorferi IgM antibody levels continued to rise after the first month and reached levels in excess of IgM levels in immunocompetent NHPs. This vigorous production of anti-B. burgdorferi IgM antibodies was also studied in vitro by measurement of antibody produced by B. burgdorferi-stimulated peripheral blood mononuclear cells. Despite these high IgM antispirochetal antibodies in Dex-treated NHPs, spirochetal loads were much higher in these animals. These data indicate that Dex treatment results in interference with isotype switching in this model and provide evidence that anti-B. burgdorferi IgG antibody is much more effective than IgM antibody in decreasing the spirochetal load in infected animals. (+info)Lyme neuroborreliosis (LNB) is a specific neurological manifestation of Lyme borreliosis, which is caused by the bacterium Borrelia burgdorferi. It is characterized by inflammation of the nervous system, particularly the peripheral and central nervous systems.
Involvement of the peripheral nervous system can present as radiculoneuropathy or cranial neuritis, leading to symptoms such as radiating pain, paresthesia, muscle weakness, and/or sensory loss in the affected areas. Involvement of the central nervous system may result in meningitis (inflammation of the membranes surrounding the brain and spinal cord), encephalitis (inflammation of the brain), or myelitis (inflammation of the spinal cord). These manifestations can cause symptoms such as headache, stiff neck, cognitive impairment, memory loss, mood changes, sleep disturbances, and, in rare cases, seizures.
LNB is typically diagnosed based on a combination of clinical presentation, laboratory tests (such as serological analysis or CSF examination), and sometimes supported by imaging studies. Treatment usually involves antibiotic therapy, which can be administered either orally or intravenously, depending on the severity and extent of the infection. Early diagnosis and treatment significantly improve the prognosis for LNB patients.
Lyme disease is not a "medical definition" itself, but it is a medical condition named after the town of Lyme, Connecticut, where it was first identified in 1975. Medical definitions for this disease are provided by authoritative bodies such as the World Health Organization (WHO) and the Centers for Disease Control and Prevention (CDC). According to the CDC, Lyme disease is a "infection caused by the bacterium Borrelia burgdorferi and is transmitted to humans through the bite of infected black-legged ticks."
The WHO defines Lyme borreliosis (LB), also known as Lyme disease, as "an infectious disease caused by spirochetes of the Borrelia burgdorferi sensu lato complex. It is transmitted to humans through the bite of infected Ixodes spp. ticks."
Both definitions highlight that Lyme disease is a bacterial infection spread by tick bites, specifically from black-legged ticks (Ixodes scapularis in the United States and Ixodes pacificus on the Pacific Coast) or deer ticks (Ixodes ricinus in Europe). The primary cause of the disease is the spirochete bacterium Borrelia burgdorferi.
The Borrelia burgdorferi group, also known as the Borrelia burgdorferi sensu lato (s.l.) complex, refers to a genetically related group of spirochetal bacteria that cause Lyme disease and other related diseases worldwide. The group includes several species, with Borrelia burgdorferi sensu stricto (s.s.), B. afzelii, and B. garinii being the most common and best studied. These bacteria are transmitted to humans through the bite of infected black-legged ticks (Ixodes scapularis in the United States and Ixodes pacificus on the West Coast; Ixodes ricinus in Europe).
Lyme disease is a multisystem disorder that can affect the skin, joints, nervous system, and heart. Early symptoms typically include a characteristic expanding rash called erythema migrans, fever, fatigue, headache, and muscle and joint pain. If left untreated, the infection can spread to other parts of the body and cause more severe complications, such as arthritis, neurological problems, and carditis.
Diagnosis of Lyme disease is based on a combination of clinical symptoms, exposure history, and laboratory tests. Treatment usually involves antibiotics, such as doxycycline, amoxicillin, or ceftriaxone, and is generally most effective when initiated early in the course of the illness. Preventive measures, such as using insect repellent, checking for ticks after being outdoors, and promptly removing attached ticks, can help reduce the risk of Lyme disease and other tick-borne infections.
Cerebrospinal fluid (CSF) is a clear, colorless fluid that surrounds and protects the brain and spinal cord. It acts as a shock absorber for the central nervous system and provides nutrients to the brain while removing waste products. CSF is produced by specialized cells called ependymal cells in the choroid plexus of the ventricles (fluid-filled spaces) inside the brain. From there, it circulates through the ventricular system and around the outside of the brain and spinal cord before being absorbed back into the bloodstream. CSF analysis is an important diagnostic tool for various neurological conditions, including infections, inflammation, and cancer.
Bell palsy is a peripheral facial nerve palsy, which means that it is a weakness or paralysis of the facial nerves (cranial nerve VII) that causes sudden asymmetric weakness on one side of the face. The symptoms can vary from mild to severe and may include:
* Sudden weakness or paralysis on one side of the face
* Drooping of the mouth, causing difficulty with smiling, eating, drinking, or speaking
* Inability to close one eye
* Dryness of the eye and mouth
* Changes in taste sensation
* Discomfort around the jaw and behind the ear
* Headache
* Increased sensitivity to sound
The exact cause of Bell palsy is not known, but it is believed to be related to inflammation or swelling of the facial nerve. It may also be associated with viral infections such as herpes simplex virus or HIV. In most cases, Bell palsy resolves on its own within a few weeks to months, although some people may experience residual symptoms such as facial weakness or asymmetry. Treatment typically involves corticosteroids and antiviral medications, which can help reduce inflammation and speed up recovery.
Facial paralysis is a loss of facial movement due to damage or dysfunction of the facial nerve (cranial nerve VII). This nerve controls the muscles involved in facial expressions, such as smiling, frowning, and closing the eyes. Damage to one side of the facial nerve can cause weakness or paralysis on that side of the face.
Facial paralysis can result from various conditions, including:
1. Bell's palsy - an idiopathic (unknown cause) inflammation of the facial nerve
2. Trauma - skull fractures, facial injuries, or surgical trauma to the facial nerve
3. Infections - Lyme disease, herpes zoster (shingles), HIV/AIDS, or bacterial infections like meningitis
4. Tumors - benign or malignant growths that compress or invade the facial nerve
5. Stroke - damage to the brainstem where the facial nerve originates
6. Congenital conditions - some people are born with facial paralysis due to genetic factors or birth trauma
Symptoms of facial paralysis may include:
* Inability to move one or more parts of the face, such as the eyebrows, eyelids, mouth, or cheeks
* Drooping of the affected side of the face
* Difficulty closing the eye on the affected side
* Changes in saliva and tear production
* Altered sense of taste
* Pain around the ear or jaw
* Speech difficulties due to weakened facial muscles
Treatment for facial paralysis depends on the underlying cause. In some cases, such as Bell's palsy, spontaneous recovery may occur within a few weeks to months. However, physical therapy, medications, and surgical interventions might be necessary in other situations to improve function and minimize complications.
'Borrelia burgdorferi' is a species of spirochete bacteria that is the primary cause of Lyme disease in humans. The bacteria are transmitted to humans through the bite of infected black-legged ticks (Ixodes scapularis in the northeastern, midwestern, and eastern parts of the United States; Ixodes pacificus on the Pacific Coast).
The bacterium was first identified and named after Willy Burgdorfer, who discovered the spirochete in the mid-1980s. The infection can lead to a variety of symptoms, including fever, headache, fatigue, and a characteristic skin rash called erythema migrans. If left untreated, the infection can spread to joints, the heart, and the nervous system, leading to more severe complications.
Antibiotic treatment is usually effective in eliminating the bacteria and resolving symptoms, especially when initiated early in the course of the disease. However, some individuals may experience persistent symptoms even after treatment, a condition known as post-treatment Lyme disease syndrome (PTLDS). The exact cause of PTLDS remains unclear, with ongoing research investigating potential factors such as residual bacterial infection, autoimmune responses, or tissue damage.
"Borrelia" is a genus of spirochete bacteria that are known to cause several tick-borne diseases in humans, the most notable being Lyme disease. The bacteria are transmitted to humans through the bite of infected black-legged ticks (Ixodes scapularis in the United States and Ixodes pacificus on the West Coast).
The Borrelia species are gram-negative, helical-shaped bacteria with distinctive endoflagella that allow them to move in a corkscrew-like motion. They are microaerophilic, meaning they require a low oxygen environment for growth. The bacteria can survive in a variety of environments, including the digestive tracts of ticks and mammals, as well as in soil and water.
Lyme disease, caused by Borrelia burgdorferi, is the most common tick-borne illness in the United States. It typically presents with a characteristic rash called erythema migrans, fever, headache, and fatigue. If left untreated, the infection can spread to other parts of the body, causing arthritis, neurological problems, and cardiac issues.
Other Borrelia species, such as B. afzelii and B. garinii, are responsible for causing Lyme disease in Europe and Asia. Additionally, some Borrelia species have been linked to other tick-borne illnesses, including relapsing fever and tick-borne meningoencephalitis.
Prevention of Borrelia infections involves avoiding tick-infested areas, using insect repellent, checking for ticks after being outdoors, and promptly removing attached ticks. If a tick bite is suspected, it's important to seek medical attention and monitor for symptoms of infection. Early diagnosis and treatment with antibiotics can help prevent the development of chronic symptoms.
Mononeuropathy is a medical condition that refers to damage or dysfunction affecting a single peripheral nerve, outside of the brain and spinal cord. This can result in weakness, numbness, or pain in the area served by that specific nerve. Mononeuropathies can occur due to various reasons such as trauma, compression, infection, or systemic diseases like diabetes. The symptoms and severity may vary depending on the type and location of the affected nerve.
Chemokine (C-X-C motif) ligand 13 (CXCL13), also known as B cell-attracting chemokine 1 (BCA-1) or B lymphocyte chemoattractant (BLC), is a small signaling protein belonging to the CXC chemokine family. Chemokines are a group of chemotactic cytokines that play crucial roles in immunological and inflammatory processes, mainly by recruiting and activating various leukocytes.
CXCL13 is primarily produced by stromal cells, including follicular dendritic cells (FDCs) within secondary lymphoid organs such as lymph nodes, spleen, and Peyer's patches. This chemokine specifically binds to the C-X-C chemokine receptor type 5 (CXCR5), which is expressed on various immune cells, most notably B cells, follicular helper T cells (Tfh), and some dendritic cell subsets.
The primary function of CXCL13 is to orchestrate the migration and positioning of immune cells, particularly B cells, within secondary lymphoid organs during an immune response. By attracting CXCR5-expressing B cells and Tfh cells, CXCL13 plays a critical role in the formation and maintenance of germinal centers (GCs), which are specialized microanatomical structures where affinity maturation and class switch recombination of B cells occur.
Abnormal levels or functions of CXCL13 have been implicated in several pathological conditions, including autoimmune diseases such as rheumatoid arthritis and systemic lupus erythematosus (SLE), certain types of cancer, and neurological disorders like multiple sclerosis (MS) and Alzheimer's disease.
Leukocytosis is a condition characterized by an increased number of leukocytes (white blood cells) in the peripheral blood. A normal white blood cell count ranges from 4,500 to 11,000 cells per microliter of blood in adults. Leukocytosis is typically considered present when the white blood cell count exceeds 11,000 cells/µL. However, the definition might vary slightly depending on the laboratory and clinical context.
Leukocytosis can be a response to various underlying conditions, including bacterial or viral infections, inflammation, tissue damage, leukemia, and other hematological disorders. It is essential to investigate the cause of leukocytosis through further diagnostic tests, such as blood smears, differential counts, and additional laboratory and imaging studies, to guide appropriate treatment.
Cosyntropin is a synthetic form of adrenocorticotropic hormone (ACTH) that is used in medical testing to assess the function of the adrenal glands. ACTH is a hormone produced and released by the pituitary gland that stimulates the production and release of cortisol, a steroid hormone produced by the adrenal glands.
Cosyntropin is typically administered as an injection, and its effects on cortisol production are measured through blood tests taken at various time points after administration. This test, known as a cosyntropin stimulation test or ACTH stimulation test, can help diagnose conditions that affect the adrenal glands, such as Addison's disease or adrenal insufficiency.
It is important to note that while cosyntropin is a synthetic form of ACTH, it is not identical to the natural hormone and may have slightly different effects on the body. Therefore, it should only be used under the supervision of a healthcare professional.
Bacterial antibodies are a type of antibodies produced by the immune system in response to an infection caused by bacteria. These antibodies are proteins that recognize and bind to specific antigens on the surface of the bacterial cells, marking them for destruction by other immune cells. Bacterial antibodies can be classified into several types based on their structure and function, including IgG, IgM, IgA, and IgE. They play a crucial role in the body's defense against bacterial infections and provide immunity to future infections with the same bacteria.
Doxycycline is a broad-spectrum antibiotic, which is a type of medication used to treat infections caused by bacteria and other microorganisms. It belongs to the tetracycline class of antibiotics. Doxycycline works by inhibiting the production of proteins that bacteria need to survive and multiply.
Doxycycline is used to treat a wide range of bacterial infections, including respiratory infections, skin infections, urinary tract infections, sexually transmitted diseases, and severe acne. It is also used to prevent malaria in travelers who are visiting areas where malaria is common.
Like all antibiotics, doxycycline should be taken exactly as directed by a healthcare professional. Misuse of antibiotics can lead to the development of drug-resistant bacteria, which can make infections harder to treat in the future.
It's important to note that doxycycline can cause photosensitivity, so it is recommended to avoid prolonged sun exposure and use sun protection while taking this medication. Additionally, doxycycline should not be taken during pregnancy or by children under the age of 8 due to potential dental and bone development issues.
Erythema chronicum migrans (ECM) is a type of skin rash that is commonly associated with early Lyme disease. It is usually the first sign of infection after a tick bite and is caused by the bacterium Borrelia burgdorferi. The rash typically appears within 3-30 days after the tick bite and starts as a red, flat or slightly raised spot at the site of the bite. Over several days or weeks, the redness expands, forming a circular or oval-shaped rash that can be up to 12 inches in diameter. The center of the rash may clear, giving it a "bull's-eye" appearance.
ECM is usually accompanied by symptoms such as fatigue, fever, headache, and muscle and joint pain. It is important to note that not all people with Lyme disease will develop ECM, and its absence does not necessarily mean that the person does not have Lyme disease. If you suspect that you may have been bitten by a tick and are experiencing symptoms of Lyme disease, it is important to seek medical attention promptly.
Serology is a branch of medical laboratory science that involves the identification and measurement of antibodies or antigens in a serum sample. Serum is the liquid component of blood that remains after clotting and removal of cells. Antibodies are proteins produced by the immune system in response to an antigen, which can be a foreign substance such as bacteria, viruses, or other microorganisms.
Serological tests are used to diagnose infectious diseases, monitor the progression of an infection, and determine the effectiveness of treatment. These tests can also help identify the presence of immune disorders or allergies. The results of serological tests are typically reported as a titer, which is the highest dilution of the serum that still shows a positive reaction to the antigen. Higher titers indicate a stronger immune response and may suggest a more recent infection or a greater severity of illness.
An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.
A medical definition of "ticks" would be:
Ticks are small, blood-sucking parasites that belong to the arachnid family, which also includes spiders. They have eight legs and can vary in size from as small as a pinhead to about the size of a marble when fully engorged with blood. Ticks attach themselves to the skin of their hosts (which can include humans, dogs, cats, and wild animals) by inserting their mouthparts into the host's flesh.
Ticks can transmit a variety of diseases, including Lyme disease, Rocky Mountain spotted fever, anaplasmosis, ehrlichiosis, and babesiosis. It is important to remove ticks promptly and properly to reduce the risk of infection. To remove a tick, use fine-tipped tweezers to grasp the tick as close to the skin's surface as possible and pull upward with steady, even pressure. Do not twist or jerk the tick, as this can cause the mouthparts to break off and remain in the skin. After removing the tick, clean the area with soap and water and disinfect the tweezers.
Preventing tick bites is an important part of protecting against tick-borne diseases. This can be done by wearing protective clothing (such as long sleeves and pants), using insect repellent containing DEET or permethrin, avoiding wooded and brushy areas with high grass, and checking for ticks after being outdoors.
A headache is defined as pain or discomfort in the head, scalp, or neck. It can be a symptom of various underlying conditions such as stress, sinus congestion, migraine, or more serious issues like meningitis or concussion. Headaches can vary in intensity, ranging from mild to severe, and may be accompanied by other symptoms such as nausea, vomiting, or sensitivity to light and sound. There are over 150 different types of headaches, including tension headaches, cluster headaches, and sinus headaches, each with their own specific characteristics and causes.
Lyme disease