consideration

Lyme Disease General Considerations

Lymedisease is a tick-borne illness caused by the spirochete B burgdorferi. Lymedisease can be divided into early disease (stage 1, EM), disseminated infection (stage 2), and late disease (stage 3, persistent infection). The first stage involves the skin, followed by stages 2 and 3, which often affect the skin, joints, CNS, and heart. However, any of the stages may fail to appear or may overlap with one another

Clinical stages of Lymedisease in children and adults

Stage Timing
Localized erythema chronicum migrans Early infection
Disseminated infection Within days or years
Persistent infection Months to years