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Options On How To Treat Lyme Disease

By Francis Riggs


Lyme disease is an illness caused by bacterial organisms that are spread by tick bites. The responsible bacteria are generally known as spirochetes but exist in different species. The affected person complains of a wide range of symptoms that include among bothers, skin lesions, joint pains, and nervous system effects. There are a number of options on how to treat Lyme disease that one may wish to know.

The vector ticks that play a central in the transmission are parasites of deer in many geographical regions of the world. One a human is bitten by these ticks the bacteria are released into the blood stream where they begin to incubate. As a result, the disease typically has two phases; an early brief phase that is localised and a prolonged systemic late phase.

The initial presentation is in the form of flu like illness while the second is more severe and affects major body systems. Advanced forms may develop into meningitis, cerebral palsies and arthritis. Anxiety and depression have been reported in a number of affected persons. Diagnosis is made based on the clinical history as well as the presence of specific antibodies in the blood stream.

A special technique, ELISA, is used in the detection of the antibodies. It is important to remember that antibodies may be detected in blood in the absence of an illness. They tend to remain in the blood stream even when the patient has been treated and cured. Interpretation of a positive result should therefore be treated with a lot of caution. The nonspecific nature of the illness is another major challenge as it resembles other diseases.

The mainstay of treatment is by antibiotics. Oral antibiotics are mainly used for early forms of the condition while the intravenous drugs are more effective for the second phase which is more severe. The specific choice of antibiotic that is chosen is mainly dependent on disease severity and the exact part of the body that is affected. Treatment should be started as soon as possible.

The main oral antibiotics that are used are doxycycline, cefuroxime and amoxicillin. In most cases the early symptoms will resolve within a few weeks without any long term consequences. Doxycycline is harmful to growing bone and should therefore be avoided in pregnant women and in children that are less than eight years. The drugs that have been approved for intravenous use are penicillin G and ceftriaxone. No home remedies exist.

Supportive management is also necessary due to the many associated complications. Pain relievers and anti-inflammatory agents are often part of treatment. For very severe joint pain, aspiration of synovial fluid from the affected joints is helpful. It is important to seek the opinion of a qualified health expert before starting treatment.

The highest incidence of this illness is found among children aged five to fourteen years and adults aged forty to fifty years. Living in areas infested with the ticks is perhaps the biggest risk factor to contracting the illness. This disease is not contagious and is not cross the placenta.




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