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==Background==
*Arthritic manifestations can occur weeks, months, or years after stage I infection
==Clinical Features==
*Monarticular or oligoarticular asymmetric joint involvement (large joints most commonly)
**Migratory pattern may occur
==Treatment==
==Treatment==
===Prophylaxis===
===Prophylaxis===

Revisión del 20:52 27 feb 2012

Background

  • Arthritic manifestations can occur weeks, months, or years after stage I infection

Clinical Features

  • Monarticular or oligoarticular asymmetric joint involvement (large joints most commonly)
    • Migratory pattern may occur

Treatment

Prophylaxis

Tick Bite Propylaxis = Doxycycline 200mg PO x 1

High Risk

  1. Tick on for >48 hrs
  2. Engorged tick
  3. Endenic area (east coast)

^Old vaccine has little to no efficacy after 1 year