Lyme Disease

Caused by the tick-borne spirochete, Borrelia burgdorferi, Lyme disease is found in North America, Europe, Australia, China, Japan, and Africa. People who live or work in residential areas surrounded by tick-infested woods or overgrown brush are at risk. Lyme disease is a systemic illness that has been associated with stillbirth. The first cases were described in the mid-1980s, and the organism has been found in fetal organs. However, a large serological series found few adverse reproductive outcomes associated with Lyme disease. Preventive measures and early recognition of the disease are important. Early treatment with antibiotics decreases the morbidity from Lyme disease. In endemic areas, Lyme disease can be diagnosed if the typical "target" skin lesion is present even if serological tests are negative. Pregnant women should be treated with penicillin (51).

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