title: Lyme Disease: What the Wilderness Provider Needs to Know.
abstract: Lyme disease is a multisystem tickborne illness caused by the spirochete Borrelia burgdorferi and is the most common vectorborne disease in the United States. Prognosis after initiation of appropriate antibiotic therapy is typically good if treated early. Wilderness providers caring for patients who live in or travel to high-incidence Lyme disease areas should be aware of the basic biology, epidemiology, clinical manifestations, and treatment of Lyme disease.
authors.affiliation: Epidemic Intelligence Service Program, Centers for Disease Control and Prevention, Atlanta, GA (Dr Forrester); Bacterial Diseases Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, CO (Drs Forrester and Mead). Electronic address: xdd2@cdc.gov.
authors.forename: Joseph D
authors.initials: JD
authors.lastname: Forrester
authors.affiliation: Division of Medical Toxicology, Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA (Ms Vakkalanka and Dr Holstege).
authors.forename: J Priyanka
authors.initials: JP
authors.lastname: Vakkalanka
authors.affiliation: Division of Medical Toxicology, Department of Emergency Medicine, University of Virginia School of Medicine, Charlottesville, VA (Ms Vakkalanka and Dr Holstege).
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Holstege
authors.affiliation: Bacterial Diseases Branch, Division of Vector-Borne Diseases, National Center for Emerging and Zoonotic Infectious Diseases, Centers for Disease Control and Prevention, Fort Collins, CO (Drs Forrester and Mead).
authors.forename: Paul S
authors.initials: PS
authors.lastname: Mead
mesh_terms: D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D025065:Borrelia burgdorferi / Q000472:pathogenicity*; D005260:Female; D006801:Humans; D018884:Ixodes; D008193:Lyme Disease / Q000175:diagnosis* / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D008297:Male; D014481:United States / Q000453:epidemiology; D055814:Wilderness
chemical_list: D000900:Anti-Bacterial Agents
keywords: Borrelia burgdorferi; Ixodes scapularis; Lyme carditis; Lyme disease; tick; tickborne disease