Review Article
Volume 8 Issue 4 - 2021
Lyme Carditis: A Rare but Lethal Condition (A Practical Review of Lyme Disease: Past, Present, and Future)
Nicholas A Kerna1,2 *, ND Victor Carsrud3, Silile Ndhlovu4, Kevin D Pruitt5, Kyle Kadivi6, Yadira Pacheco Gutierrez7, Lawrence U Akabike8, Emmanuella Olubumni Solomon9 and Uzoamaka Nwokorie10
1SMC–Medical Research, Thailand
2First InterHealth Group, Thailand
3Lakeline Wellness Center, USA
4MyPainDoc PC, USA
5Kemet Medical Consultants, USA
6Global Health Group LLC, USA
7Universidad de Ciencias Medicas,Matanzas, Cuba
8Larrico Enterprises, LLC, USA
9Obafemi Awolowo University, Nigeria
10University of Washington, USA
*Corresponding Author: Nicholas A Kerna, (mailing address) POB47 Phatphong, Suriwongse Road, Bangkok, Thailand 10500. Contact: medpublab+drkerna@gmail.com.
Received: March 09, 2021; Published: March 29, 2021




Abstract

Lyme disease was first identified in the late 1970s, by a consortium of scientists investigating individuals residing in Old Lyme, Connecticut (in the Northeastern U.S.) who experienced symptoms of unknown origin. The scientists from Yale School of Medicine and the Connecticut State Department of Health discovered that a tick bite caused the patients’ symptoms. It was later determined that the causative pathogen was Borrelia. The disease is endemic in the northern hemispheres with infection rates spiking in the warmer and summer months.

In 70–80% of infected individuals, the disease is characterized by the hallmark (painless) erythema migrans (EM) rash or lesion, occurring about 3–30 days post-tick bite. In the early stages after infection, symptoms may include myalgia, arthralgia, regional lymphadenopathy, headache, and fever. Symptoms may progress to secondary skin lesions, malaise, headache, neck stiffness, chills, and arthralgia. If left untreated, neurological and cardiac-related complications can occur (such as meningitis, subtle encephalitis, cranial neuritis, neuropathy, ataxia, myelitis, presyncope, syncope, dyspnea, arrhythmia or angina, accompanied by pyrexia and myalgia). Lyme carditis, although rare, can be fatal. Also, specific psychological symptoms and disorders can be aggravated or provoked by Lyme disease.

To combat the Borrelia pathogen, specific oral or intravenous (IV) antibiotics are prescribed. Most Lyme disease cases respond favorably with a 10–28 days course of antibiotics. However, in 10–20% of the treated cases, post-treatment Lyme disease syndrome (PTLDS) develops—the etiology and treatment of which is currently undecided.

The most effective prevention against Lyme disease is avoiding a tick-bite, and wearing appropriate clothing, using anti-tick sprays, and performing a body inspection, preferably with a mirror. Novel treatment regimes—as yet not medically-recognized or endorsed—consist of herbal remedies and herbal-drug combinations. There is no vaccine against the disease, although research into a universal vaccine continues.

 

Keywords: Deer; Fever; Malaise; Outdoors; Rash; Tick

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Citation: Kerna NA, Carsrud NDV, Ndhlovu S, Pruitt KD, Kadivi K, Gutierrez YP, Akabike LU, Solomon EO, Nwokorie U. “Lyme Carditis: A Rare but Lethal Condition (A Practical Review of Lyme Disease: Past, Present, and Future)”. EC Gynaecology 8.4 (2021): 32-42.

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