Lyme disease

Patricia K Coyle1

  • 1Department of Neurology, School of Medicine, State University of New York at Stony Brook, HSC, T-12 Room 020, Stony Brook, NY 11794-8121, USA. pcoyle@notes.cc.sunysb.edu

Insights

Lyme disease, caused by Borrelia burgdorferi, presents diverse symptoms and can affect the nervous system. Antibody testing aids diagnosis, and antibiotics are effective for most patients.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Tick-borne Illnesses

Background:

  • Lyme disease is caused by the tick-borne spirochete Borrelia burgdorferi.
  • Infection risk is geographically limited to areas with the Ixodid tick vector.
  • The disease manifests in local, early dissemination, and late stages, affecting multiple organ systems.

Purpose of the Study:

  • To review the clinical manifestations of Lyme disease.
  • To discuss diagnostic challenges and the role of serology.
  • To highlight Lyme disease as a model for studying host-pathogen-vector interactions and infectious neurologic disease.

Main Methods:

  • Literature review of Lyme disease pathogenesis, clinical presentation, diagnosis, and management.
  • Analysis of the role of Borrelia burgdorferi in causing various disorders.
  • Examination of diagnostic controversies and the utility of antibody testing.

Main Results:

  • Lyme disease involves characteristic skin, musculoskeletal, cardiac, ocular, and neurologic disorders.
  • Neurologic involvement, affecting both central and peripheral nervous systems, can occur at any disease stage.
  • Difficulties in culturing Borrelia burgdorferi and lack of active infection assays complicate diagnosis, though seropositivity is common.

Conclusions:

  • Antibody testing is valuable for supporting Lyme disease diagnosis due to high seropositivity rates.
  • Most patients achieve good outcomes with appropriate antibiotic treatment.
  • Lyme disease serves as a crucial model for understanding disease development and infectious neurological disorders.

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