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Lyme Disease

Lyme disease is an unwellness caused by Borrelia burgdorferi, a member of the spirochaete or spiral-shaped bacteriums household. It was foremost officially recognized in the United States in 1975, after an unusual bunch of arthritis instances broke out in kids from Lyme, Connecticut. What we now know as Lyme disease was reported in a grouse huntsman from Taylor County, Wisconsin in 1969. It wasn? T until 1979 that extra instances of Lyme disease were reported in Wisconsin. The bacteria Borrelia burgdorferi was non even identified until 1982. There are about 12,000-16,000 instances of Lyme disease reported each twelvemonth in the United States. Lyme disease has been reported in about every province in the state, although most instances are concentrated in the coastal nor’-east, from Massachusetts to Maryland, the north-central provinces, particularly Wisconsin and Minnesota, and the West seashore, peculiarly northern California. Since 1980, there have been 6,089 instances of Lyme disease reported in Wisconsin, most of them coming from the northwesterly or west cardinal portion of the province. I chose this subject because I knew that Lyme disease was an illness common to Wisconsin and I wanted to larn how to protect my friends and household from the disease.

Lyme disease is spread by the bite of ticks of the genus Ixodes that are infected with Borrelia burgdorferi. The cervid tick is responsible for conveying Lyme disease bacteriums to worlds in the northeasterly and north-central United States. On the West seashore, the bacteriums are transmitted to worlds by the blacklegged tick. Ixodes ticks are much smaller than common Canis familiaris and cattle ticks. In their larval and nymphal phases, they are no bigger than a dumbbell. Adults are merely somewhat larger. Ticks can attach to any portion of the human organic structure but frequently attach to the more concealed and haired countries such as the inguen, axillas, and scalp. For the most portion, ticks transmit Lyme disease to worlds during the nymph phase because they are more likely to feed on a individual and they are seldom noticed because of their little size. Therefore, these nymphs have plentifulness of clip to feed on blood and convey the infection. This normally takes 2 or more yearss to happen. Tick larvae are smaller than the nymphs, but they seldom carry the infection at this phase and do non lend in the spread of Lyme disease to worlds. Adult ticks can convey the disease, but since they are larger and more likely to be seen and removed they are less likely than the nymphs to convey the infection. Ticks hunt for host animate beings from the tips of grasses and bushs and transportation to animate beings or people that coppice against the flora. Ticks do non wing or leap, they can merely creep. They feed on blood by infixing merely their mouthparts into the tegument of a host. The tick easy enlarges as it feeds for several yearss. Although in theory Lyme disease could distribute through blood transfusions or other contact with septic blood or piss, no instances have been documented. There is no grounds that a individual can acquire infected from sexual contact, the air, nutrient, or H2O, or straight from wild or domestic animate beings. Another untrue myth about Lyme disease is that insects such as mosquitoes, flies, and fleas can convey the infection. Campers, tramps, out-of-door workers, and others who often go through wooded, brushy, and grassy topographic points are normally exposed to ticks, which increase their opportunities of going infected with the Lyme disease bacterium.

Knowing the complex life rhythm of the ticks that transmit Lyme disease is of import in understanding the hazard of obtaining the disease and happening ways to forestall it. The life rhythm of these ticks takes 2 old ages to finish. It begins by grownup ticks feeding and copulating on a host in the autumn and early spring. The female tick so drops off the host to put eggs on the land, which will hatch into larvae by summer. The larvae provender on mice and other mammals in the summer and early autumn and so are inactive until the following spring when they molt into nymphs. The nymphs provender on little gnawers and mammals in the late spring and summer and moult into grownups in the autumn, finishing the 2-year life rhythm. Larvae and nymphs become infected with Lyme disease bacteriums when they feed on septic little animate beings, particularly the white-footed mouse. The bacterium remain in the tick as it changes from larva to nymph or nymph to adult. These septic ticks so bite and convey the bacteriums to other gnawers, animate beings, and worlds all in their normal eating behaviour.

There are several symptoms and marks of early Lyme disease. These include weariness, icinesss, febrility, concern, musculus and joint hurting, conceited lymph nodes, and the most common of all, a skin roseola resembling a bull? s oculus, called erythema migrans. Erythema migrans is a ruddy round spot that appears at the site of the bite 3-30 yearss after the bite of an septic tick. The roseola so expands, sometimes distributing to other parts of the organic structure. Common sites are the thigh, inguen, trunk and back, and the axillas. Some symptoms and marks of Lyme disease may non look until hebdomads, months, or old ages after a tick bite. In late Lyme disease, arthritis may look as brief enchantments of hurting and puffiness, most normally in the articulatio genuss and other big articulations. About 10-20 % of untreated patients will travel on to develop chronic arthritis. Some people may develop complications affecting the bosom and nervous system. Some specific complications include hea

rt obstructions and bosom beat abnormalities. Nervous system abnormalcies can include hurting, numbness, Bell? s paralysis, meningitis, phrenitis, and other peripheral nervus conditions. In some people the roseola ne’er signifiers and they merely experience arthritis and others sometimes merely have nervous system jobs. In rare instances, Lyme disease contracted during gestation may take to infection of the foetus and perchance doing a spontaneous abortion to happen.

Lyme disease is frequently hard to name because its symptoms and marks copy those of many other diseases. The febrility, musculus achings, and weariness of Lyme disease can be easy mistaken for viral infections, such as the grippe or glandular fever. Joint hurting can be mistaken merely for rheumatoid arthritis, while neurological marks can mime those of multiple induration. At the same clip, other types of arthritis or neurological diseases can be misdiagnosed as Lyme disease. The lone typical grade unique to Lyme disease is the erythema migrans rash, but is absent in at least? of the people who become infected. The antibody blood trial used most frequently in observing Lyme disease bacterium is called an ELISA trial. When an ELISA trial is positive, it should be confirmed with a 2nd, more specific trial, called a Western smudge. These trials are most utile in ulterior phases of unwellness, but even so they may give inaccurate consequences. Laboratory trials for Lyme disease have non yet been standardized nationally because they are still working on better, more accurate trials. When naming Lyme disease one should take into history the possible exposure to ticks, the symptoms and marks, and the consequences of blood trials taken for the finding of whether the patient has antibodies to Lyme disease bacteriums or non.

About all Lyme disease patients can be efficaciously treated with antibiotic therapy. If Lyme disease is diagnosed during the early phase, it is normally easy treated with antibiotics such as Achromycin, penicillin, and Erythrocin. Antibiotics, like Vibramycin, Ceftin axetil, or amoxicillin taken orally for a few hebdomads can rush the healing of the erythema migrans rash and normally forestall other symptoms such as arthritis or neurological jobs. Lyme disease patients with neurological symptoms are normally treated with the antibiotic Rocephin given intravenously one time a twenty-four hours for a few hebdomads. Most patients retrieve to the full. Lyme arthritis can be treated with unwritten antibiotics, but patients with terrible arthritis may be treated with Rocephin or penicillin given intravenously. These patients may besides be given anti-inflammatory drugs to ease their uncomfortableness and assistance to their healing every bit good. To handle Lyme disease bosom symptoms, physicians use the antibiotics Rocephin or penicillin given intravenously for 2 hebdomads. If these symptoms persist, patients may besides be treated with corticoids or given a impermanent pacesetter. Peoples with Lyme disease seldom experience long-run bosom harm.

There are a few things you can make to forestall Lyme disease. After being out-of-doorss, look into yourself for ticks, so you can take them before they embed and have the opportunity to convey the bacterium. Wear light-colored vesture so it is easier to descry ticks. Tuck your bloomerss into your boots ; wear long-sleeved shirts and a chapeau to protect yourself. You should besides utilize a tick/insect repellant with DEET to foster ward off ticks. Recently, in 1999, a vaccinum was produced to assist forestall Lyme disease. The vaccinum can be given to people 15-70 old ages old. It is given as an injection, affecting 3 doses. The 1st dosage can be given at any clip, sooner early in the twelvemonth. The 2nd dosage should be given 1 month after the 1st 1. Finally, the 3rd dosage of the vaccinum should be given 12 months after the first 1. Since it is non known how long the vaccinum protects you, no program or agenda for giving any supporter doses has been set. Until we can happen a complete remedy, research workers are developing effectual schemes for fring countries of cervid ticks wholly.

Lyme disease has merely been around for about 25 old ages, yet scientific discipline has made great progresss in developing preventive tools, the most recent being the creative activity of the Lyme disease vaccinum. I learned a batch about Lyme disease from the transmittal of it to the intervention and preventive steps you can take against it. Lyme disease is frequently taken really lightly, but I have learned that it can do a roseola, arthritis, and even neurological jobs, which should non be taken lightly at all. The key to non undertaking the disease is to be careful and inspect yourself after being out-of-doorss, particularly when near wooded countries.

Centers for Disease Control and Prevention. Lyme Disease. Washington, D.C. : National Center for Infectious Diseases, May 1998.

Department of Health and Social Services. Lyme Disease In Wisconsin. Madison, WI: Bureau of Community Health and Prevention, April 1989.

Lang, Denise. Coping With Lyme Disease. New York: Holt and Company, 1993. Schlesinger, Peter. ? Lyme Disease: An Update. ? Hospital Medicine July 1998.

U.S. Department of Health and Human Services. Lyme Disease Vaccine. Washington, D.C. : National Immunization Program, November 1999.

U.S. Department of Health and Human Services. Lyme Disease. Washington, D.C. : National Institutes of Health, April 1998.

Wisconsin Department of Health. Lyme Disease. Madison, WI: Bureau of Communicable Diseases, March 1999.

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