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Doença de Lyme

Last reviewed: 13 Feb 2025
Last updated: 07 Feb 2025

Summary

Definition

History and exam

Key diagnostic factors

  • presença de fatores de risco
  • eritema migratório
  • sintomas constitucionais
Full details

Other diagnostic factors

  • paralisia facial
  • artrite ou artralgia
  • linfadenopatia regional
  • rigidez de nuca
  • linfocitoma da cútis
  • acrodermatite crônica atrofiante
  • bloqueio atrioventricular (AV) ou miopericardite
  • radiculoneuropatia
  • encefalomielite, neuropatia periférica, encefalopatia
Full details

Risk factors

  • exposição a carrapatos infectados
  • atividades em ambientes externos
  • duração da mordida do carrapato
Full details

Diagnostic tests

1st tests to order

  • imunoensaio enzimático ou ensaio de imunofluorescência
Full details

Tests to consider

  • IgM e IgG específicas para Lyme (ensaio de immunoblotting)
  • cultura de biópsia da pele
  • reação em cadeia da polimerase
  • eletrocardiograma (ECG)
Full details

Treatment algorithm

INITIAL

alto risco de picada de carrapato conhecido

ACUTE

eritema migratório

comprometimento cardíaco

doença neurológica

artrite

ONGOING

artrite recorrente ou persistente

Contributors

Authors

Janak Koirala, MD, MPH, FACP, FIDSA
Janak Koirala

Professor of Medicine and Infectious Diseases

Division of Infectious Diseases

Southern Illinois University School of Medicine

Springfield

IL

Disclosures

JK declares that he has no competing interests.

Acknowledgements

Dr Janak Koirala would like to gratefully acknowledge Dr Tin Han Htwe and Dr Cristian A. Spiel, previous contributors to this topic.

Disclosures

THH and CAS declare that they have no competing interests.

Peer reviewers

Raymond J. Dattwyler, MD

Professor of Medicine and Microbiology/Immunology

Chief of Allergy, Immunology and Rheumatology

New York Medical College

Valhalla

NY

Disclosures

RJD declares that he has no competing interests.

Ionita Catalina, MD

Assistant Professor of Neurology and Neurosurgery

SUNY at Buffalo

Stroke/Neurocritical Care

Millard Fillmore Gates Hospital - Kaleida Stroke Center

Buffalo

NY

Disclosures

IC declares that she has no competing interests.

Graham Fry, MB, FRCSI, DTM&H

Lecturer in Tropical Medicine

University College Dublin

Medical Director

Tropical Medical Bureau

Ireland

Disclosures

GF declares that he has no competing interests.

Andras Lakos, MD, PhD

Physician

Centre for Tick-Borne Diseases

Budapest

Hungary

Disclosures

AL is an author of a reference cited in this topic.

  • Doença de Lyme images
  • Differentials

    • Reação inflamatória local à picada de carrapato
    • Alergia a mordida de carrapato
    • Celulite
    More Differentials
  • Guidelines

    • CDC Yellow Book: health information for international travel - Lyme disease
    • 2020 guidelines for the prevention, diagnosis and treatment of Lyme disease
    More Guidelines
  • Patient information

    Lyme disease

    More Patient information
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