Dr. George's suspicions prompted the Ernakulam district health department to intervene, and the National Institute of Virology confirmed Lyme disease.(Representational image: Pixabay) 
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Lyme Disease Strikes Kerala's Ernakulam

Lyme disease is mostly spread to people by the bite of infected black-legged ticks that contain the bacteria Borrelia burgdorferi.

Susmita Bhandary

A new report confirmed a case of Lyme disease in Kerala, increasing fears about the bacterial infections spread throughout the region. The patient, a 56-year-old male from Koovappady in Ernakulam district, developed symptoms of the condition in December of the previous year. He sought medical help from several doctors in Kothamangalam but had no comfort till he met with Dr. Jilse George, a top consultant at Lisie Hospital in Kochi.
Dr. George's suspicions prompted the Ernakulam district health department to intervene, and the National Institute of Virology confirmed Lyme disease. Lyme disease is mostly spread to people by the bite of infected black-legged ticks that contain the bacteria Borrelia burgdorferi.

Understanding Lyme disease

Lyme disease, caused by the bacterium Borrelia burgdorferi, is mostly transmitted to humans by the bite of infected black-legged ticks (also known as deer ticks). These small arachnids lurk in forested and grassy regions, waiting to hook onto unwary hosts and spread the dangerous bacteria.

Signs and symptoms

Lyme disease symptoms can vary greatly, but they typically include fever, headache, exhaustion, and a distinctive "bull's-eye" rash known as erythema migrans. This rash, which resembles a bullseye with a central clearing, usually emerges 3 to 30 days after infection and is a defining feature of the condition. However, not all cases have this unique rash, so it's important to be mindful of additional symptoms like joint discomfort, neurological difficulties, and heart complications. 

Distinctive "bull's-eye" rash known as erythema migrans. (Representational image: Wikimedia commons)

Diagnosing Lyme Disease

Lyme disease is often diagnosed using a combination of clinical and laboratory investigations. To confirm the infection, physicians may use a combination of typical symptoms and serological testing. However, accurate interpretation of these tests is critical to avoiding false positives or misdiagnoses and ensuring that patients receive prompt and appropriate therapy.

Treatment

Early detection and treatment are critical components of effective Lyme disease management. Antibiotics are the major therapeutic option, especially in the early stages of the disease. Doxycycline is commonly used to treat the bacterial infection and prevent it from progressing to more serious consequences affecting the joints, heart, and neurological system. However, the duration and type of antibiotics used may vary depending on the individual's symptoms and medical history.

Prevention

While treatment is important, prevention is still the best barrier against Lyme disease. Adopting simple but effective procedures can dramatically reduce the risk of tick bites and infections. Avoiding tick habitats, wearing protective clothes, applying insect repellents, and swiftly removing ticks are all important strategies for protecting against Lyme disease. Furthermore, performing comprehensive tick checks after outdoor activities and practicing good hygiene might reduce the chance of exposure.

Stay informed, stay safe.

As Lyme disease arises in Kerala, it serves as a sobering reminder of the necessity of raising awareness and maintaining vigilantes in combating this deadly menace. By learning about the indications, symptoms, and preventative techniques linked to Lyme disease, we can better protect ourselves from its detrimental effects.

Reference:

1. Borchers AT, Keen CL, Huntley AC, Gershwin ME. Lyme disease: A rigorous review of diagnostic criteria and treatment. Journal of Autoimmunity [Internet]. 2015 Feb 1 [cited 2024 Mar 13];57:82–115. Available from: https://www.sciencedirect.com/science/article/pii/S0896841114001334

2. Wright WF, Riedel DJ, Talwani R, Gilliam BL. Diagnosis and management of lyme disease. afp [Internet]. 2012 Jun 1 [cited 2024 Mar 13];85(11):1086–93. Available from: https://www.aafp.org/pubs/afp/issues/2012/0601/p1086.html

(Input from various resources)

(Rehash/Susmita Bhandary/MSM)

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