Lyme disease (B. burgdorferi)

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Early localized

  • E. migrans
  • Fatigue, malaise, headache, neck stiffness
  • Myalgias and arthralgias
  • Facial palsy

Early disseminated

  • Carditis (AV block, cardiomyopathy)
  • CNS: Meningitis, encephalitis
  • Multiple e. migrans
  • Lymphadenopathy

Chronic

  • Arthritis
  • Encephalomyelitis, peripheral neuropathy