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This Concept Map, created with IHMC CmapTools, has information related to: 04h. Lyme Disease, LYME DISEASE Tick, New England, Nymph, bullseye rash, rodent, late spring, Bells Palsy, AV Block Ref: Pages 877-880; Microcard 60 Vector Disease presentation Direct acute bacterial infection (Stage 1), Vaccines For humans, (no longer available), Larva become nymphs Rodents (Deer mouse), LYME DISEASE Tick, New England, Nymph, bullseye rash, rodent, late spring, Bells Palsy, AV Block Ref: Pages 877-880; Microcard 60 Vector Disease epidemiology Seasonal, Spreading annular rash Remains flat, LYME DISEASE Tick, New England, Nymph, bullseye rash, rodent, late spring, Bells Palsy, AV Block Ref: Pages 877-880; Microcard 60 Vector Disease diagnosis Serology, Geography High incidence in New England, LYME DISEASE Tick, New England, Nymph, bullseye rash, rodent, late spring, Bells Palsy, AV Block Ref: Pages 877-880; Microcard 60 Vector Disease bug Carried in Ixodes tick nyph, Carried in Ixodes tick nyph infected nymph bites either Occurs in late spring early summer, Serology May have false negatives due to cross reactivity w/ other tick diseases, LYME DISEASE Tick, New England, Nymph, bullseye rash, rodent, late spring, Bells Palsy, AV Block Ref: Pages 877-880; Microcard 60 Vector Disease prevention Vaccines, LYME DISEASE Tick, New England, Nymph, bullseye rash, rodent, late spring, Bells Palsy, AV Block Ref: Pages 877-880; Microcard 60 Vector Disease treatment Early stages, Late stages Ceftriaxone, Early stages Doxycycline, Adult Ixodes bites infected rodent then bites a deer Adults fall off deer to lay eggs, Cross rxn between Borrelia and host Joint problems, Vaccines For dogs, Stage 2 Cardiac, Cardiac Heart block, Serology IgG antibodies later