Lyme Disease

Key points

• Lyme disease is caused by the spirochaete Borrelia burgdorferi and is spread by ticks Features
• early: erythema chronicum migrans + systemic features (fever, arthralgia)
• CVS: heart block, myocarditis
• neuro: cranial nerve palsies, meningitis Investigation
• NICE recommend that Lyme disease can be diagnosed clinically if erythema migrans is present