You are here

Lyme Disease 088.81

 

synonyms:

Lyme Disease ICD-9

  • 088.81 Lyme Disease

Lyme Disease Etiology / Epidemiology / Natural History

  • Caused by the spirochete Borrelia burgdorferi which is carried by the deer tick Ixodes dammini as well as other ticks.
  • Most prevalent in the Northeast, upper Midwest and far West.

Lyme Disease Anatomy

Lyme Disease Clinical Evaluation

  • Erythema migrans: classic skin lesion with erythema expanding from the site of a tick bite.
  • Variable constitutional, flulike symptoms.
  • Athralgia (80%): most commonly the knee.
  • Cardivascular symptoms (4-8%): cardiac conduction block
  • Neurologic symptoms (15%): Bell's palsy, cranial nerve palsy
  • Chronic stage = recurrent arthralgias, fatigue, polyradiculopathy, encephalopathy (inability to concentrate, memory loss).

Lyme Disease Xray / Diagnositc Tests

  • Blood test for Borrelia titer

Lyme Disease Classification / Treatment

  • If tick is removed within 24 hours the risk of Lyme disease is minimal. Ticks are best removed with gentle teasing with fine tweesers.
  • Doxycycline 100mg PO BID for 10-30 days
  • Amoxicillin 500mg PO TID; 30mg/kg/day for peds.

Lyme Disease Associated Injuries / Differential Diagnosis

  • Arthritis
  • Fibromyalgia
  • Rheumatic fever
  • Idiopathic Bell's palsy
  • Meningitis
  • Multiple sclerosis
  • Peripheral neuritis
  • Reiter syndrome (iritis, urethritis)

Lyme Disease Complications

  • recurrent arthralgias
  • fatigue
  • polyradiculopathy
  • encephalopathy

Lyme Disease Follow-up Care

Lyme Disease Review References

  • www.canlyme.com
  • Griffin LY, Essentials of Musculoskeletal Care 3rd edition, AAOS, 2005

Disclaimer

The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer