Lyme Disease Case Study A 38-year-old male

Lyme Illness
Case Examine
A 38-year-old male had a Three-week historical past of fatigue and lethargy with intermittent complaints
of headache, fever, chills, myalgia, and arthralgia. In response to the historical past, the affected person’s
signs started shortly after a tenting trip. He recalled a bug chew and rash on his
thigh instantly after the journey. The next research have been ordered:
Research Outcomes
Lyme illness take a look at, Elevated IgM antibody titers in opposition to Borrelia burgdorferi
(regular: low)
Erythrocyte sedimentation price
30 mm/hour (regular: ≤15 mm/hour)
Aspartate aminotransferase
32 models/L (regular: Eight-20 models/L)
Hemoglobin (Hgb), 12 g/dL (regular: 14-18 g/dL)
Hematocrit (Hct), 36% (regular: 42%-52%)
Rheumatoid issue (RF), Destructive (regular: damaging)
Antinuclear antibodies (ANA), Destructive (regular: damaging)
Diagnostic Evaluation
Primarily based on the affected person’s historical past of tenting within the woods and an insect chew and rash on the
thigh, Lyme illness was suspected. Early in the midst of this illness, testing for particular
immunoglobulin (Ig) M antibodies in opposition to B. burgdorferi is probably the most useful in diagnosing
Lyme illness. An elevated ESR, elevated AST ranges, and gentle anemia are incessantly seen
early on this illness. RF and ANA abnormalities are normally absent.
Important Pondering Questions
1. What’s the cardinal signal of Lyme illness? (all the time on the boards)
2. At what phases of Lyme illness are the IgG and IgM antibodies elevated?
Three. Why was the ESR elevated?
four. What’s the Therapeutic aim for Lyme Illness and what’s the advisable therapy.

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