Lyme Disease Case Study Discussion 5
Lyme Disease Case Study Discussion 5
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 line with 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 had been ordered:
Research Outcomes
Lyme illness check, Elevated IgM antibody titers towards Borrelia burgdorferi (regular: low)
Erythrocyte sedimentation price (ESR), 30 mm/hour (regular: ≤15 mm/hour)
Aspartate aminotransferase (AST), 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), Unfavorable (regular: adverse)
Antinuclear antibodies (ANA), Unfavorable (regular: adverse)
Diagnostic Assessment
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 towards B. burgdorferi is essentially 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 often absent.
Vital Considering 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 purpose for Lyme Disease and what’s the beneficial therapy.
