What is the Therapeutic goal for Lyme Disease and what is the recommended treatment
Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references.
Case Study Lyme Disease The answers must be in your own words with reference to journal or book where you found the evidence to your answer.
Case Study
A 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaints
of headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’s
symptoms began shortly after a camping vacation. He recalled a bug bite and rash on his
thigh immediately after the trip. The following studies were ordered:
Studies Results
Lyme disease test, Elevated IgM antibody titers against Borrelia burgdorferi
(normal: low)
Erythrocyte sedimentation rate
(ESR),
30 mm/hour (normal: ≤15 mm/hour)
Aspartate aminotransferase
(AST),
32 units/L (normal: 8-20 units/L)
Hemoglobin (Hgb), 12 g/dL (normal: 14-18 g/dL)
Hematocrit (Hct), 36% (normal: 42%-52%)
Rheumatoid factor (RF), Negative (normal: negative)
Antinuclear antibodies (ANA), Negative (normal: negative)
Diagnostic Analysis
Based on the patient’s history of camping in the woods and an insect bite and rash on the
thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific
immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing
Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen
early in this disease. RF and ANA abnormalities are usually absent.
Critical Thinking Questions
1. What is the cardinal sign of Lyme disease? (always on the boards)
2. At what stages of Lyme disease are the IgG and IgM antibodies elevated?
3. Why was the ESR elevated?
4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment
Answer preview What is the Therapeutic goal for Lyme Disease and what is the recommended treatment
APA
354 words