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Arthritis  (Expert Forum)
 | 
borrelia burgdorferi and arthritic pain?
Answered by
Dr Vinod - Exercise & Fitness, Orthopedics
General Physician Gurgaon - India

borrelia burgdorferi and arthritic pain?

by MaudeMolly, Aug 07, 2009 01:08PM
what is borrelia burgdorferi?  my best girl friend with lyme disease and so i wanted to learn more to help her

by Dr Vinod, Aug 08, 2009 09:05PM
To: MaudeMolly
Dear MaudeMolly, Good to here that you are supporting your best gir friend.

Borrelia burgdorferi is a species of Gram negative bacteria of the spirochete class of the genus Borrelia. B. burgdorferi is predominant in North America, but also exists in Europe, and is the agent of Lyme disease.

The incubation period from infection to the onset of symptoms is usually one to two weeks, but can be much shorter (days), or much longer (months to years).

Lyme arthritis usually affects the knees. In a minority of patients arthritis can occur in other joints, including the ankles, elbows, wrist, hips, and shoulders. Pain is often mild or moderate, usually with swelling at the involved joint. Baker's cysts may form and rupture. In some cases joint erosion occurs.

Lyme disease is diagnosed clinically based on symptoms, objective physical findings (such as erythema migrans, facial palsy, or arthritis), a history of possible exposure to infected ticks, as well as serological blood tests.Most but not all patients with Lyme disease will develop the characteristic bulls-eye rash, but many may not recall a tick bite.

The most widely used tests are serologies, which measure levels of specific antibodies in a patient's blood.

Antibiotics are the primary treatment for Lyme disease; the most appropriate antibiotic treatment depends upon the patient and the stage of the disease.The antibiotics of choice are doxycycline (in adults), amoxicillin (in children), erythromycin (for pregnant women) and ceftriaxone, with treatment lasting 14 to 21 days.

Take care and come back to us with further queries.

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