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- Lyme disease, or borreliosis, is an emerging infectious disease caused by at least three species of bacteria belonging to the genus Borrelia.[1] Borrelia burgdorferi is the predominant cause of Lyme disease in the U.S., whereas Borrelia afzelii and Borrelia garinii are implicated in most European cases.
Lyme disease is the most common tick-borne disease in the Northern Hemisphere. The bacteria are transmitted to humans by the bite of infected hard ticks belonging to several species of the genus Ixodes.[2] Early manifestations of infection may include fever, headache, fatigue, and a characteristic skin rash called erythema migrans. Left untreated, late manifestations involving the joints, heart, and nervous system can occur. In a majority of cases, symptoms can be eliminated with antibiotics, especially if diagnosis and treatment begins early in the course of illness. Late, delayed, or inadequate treatment can lead to "late stage" or "chronic" Lyme disease that can be disabling and difficult to treat. Controversy over diagnosis, testing and treatment has led to two different standards of care.
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