00:00 / 00:00
Bacterial structure and functions
Streptococcus pyogenes (Group A Strep)
Streptococcus agalactiae (Group B Strep)
Clostridium botulinum (Botulism)
Clostridium difficile (Pseudomembranous colitis)
Clostridium tetani (Tetanus)
Bacillus cereus (Food poisoning)
Corynebacterium diphtheriae (Diphtheria)
Bacillus anthracis (Anthrax)
Salmonella typhi (typhoid fever)
Legionella pneumophila (Legionnaires disease and Pontiac fever)
Yersinia pestis (Plague)
Vibrio cholerae (Cholera)
Francisella tularensis (Tularemia)
Bordetella pertussis (Pertussis/Whooping cough)
Haemophilus ducreyi (Chancroid)
Mycobacterium tuberculosis (Tuberculosis)
Mycobacterium avium complex (NORD)
Borrelia burgdorferi (Lyme disease)
Borrelia species (Relapsing fever)
Treponema pallidum (Syphilis)
Rickettsia rickettsii (Rocky Mountain spotted fever) and other Rickettsia species
Coxiella burnetii (Q fever)
Ehrlichia and Anaplasma
Gardnerella vaginalis (Bacterial vaginosis)
Viral structure and functions
Varicella zoster virus
Epstein-Barr virus (Infectious mononucleosis)
Human herpesvirus 8 (Kaposi sarcoma)
Herpes simplex virus
Human herpesvirus 6 (Roseola)
Poxvirus (Smallpox and Molluscum contagiosum)
BK virus (Hemorrhagic cystitis)
JC virus (Progressive multifocal leukoencephalopathy)
Hepatitis A and Hepatitis E virus
Hepatitis D virus
Respiratory syncytial virus
Human parainfluenza viruses
Yellow fever virus
Hepatitis C virus
West Nile virus
Human T-lymphotropic virus
Eastern and Western equine encephalitis virus
Lymphocytic choriomeningitis virus
Prions (Spongiform encephalopathy)
Borrelia burgdorferi (Lyme disease)
0 / 20 complete
0 / 3 complete
animal transmission p. 147
coinfection with p. 154
facial nerve palsy p. 183
Lyme disease p. 144
tetracyclines p. 189
Robert S. Porter, MD, Editor-in-Chief, Merck Manual
Scott Line, DVM, PhD, DACVB, Editor-in-Chief, Merck Veterinary Manual
Zachary Kevorkian, MSMI
Amanda J. Grieco, Ph.D.
Lyme disease, or Lyme borreliosis, is an infectious, blood-borne bacterial disease that is transmitted by ticks.
It’s caused by Borrelia burgdorferi species.
Now, the genus Borrelia contains several species.
Lyme disease in people is caused primarily by Borrelia burgdorferi in North America and by B. afzelii, B. garinii, and B. burgdorferi in Europe and Asia.
In domestic animals, only B burgdorferi is confirmed to cause Lyme disease..
Borrelia are spirochetes, which means spiral-shaped bacteria.
They have outer surface proteins, abbreviated as Osp, which play a role in virulence; and sets of flagella that run between the cell wall and outer membrane, which they use to spin or twist to move in a wave-like motion.
Hard-shelled, Ixodes ticks, or deer ticks, are the vector for B. Burgdorferi, meaning they are the intermediate organism that spreads the bacteria.
In the northeast and Midwest USA, I. scapularis, the black-legged deer tick is the main vector; while on the Pacific coast, it’s I. pacificus, the western black-legged tick.
In Europe and Asia I ricinus and I. persulcatus are the primary vectors.
Ticks like environments with moderate humidity and temperature so they’re often found in wooded areas, thick brush, marshes, and tall grass.
The ticks are small, and even adults are only about 3 mm long, so they can be hard to notice.
Now Ixodes ticks feed on the blood from hosts throughout their life stages of larva, nymph, and adult.
When they hatch as larvae, they are uninfected.
When they feed on infected hosts as larvae or nymphs, they can pick up the B. burgdorferi bacteria.
In the younger stages of their life, they often feed on smaller animals like rodents, birds and even lizards.
When they grow into adults, they move on to larger mammals like dogs, cats, or horses.
A tick infected with B. Burgdorferi can transmit the bacteria to humans and animals through their saliva during feeding.
In the first few hours after attachment, the bacteria in the tick’s midgut switch their outer surface protein from OspA to OspC, which helps with transmission and provides protection against the host’s immune system.
After 24 hours of attachment, the bacteria passes from the ticks digestive system to the host’s skin, and then into the blood vessels that the tick is feeding on.
Lyme disease is a bacterial infection that is transmitted to humans through the bite of an infected deer tick. It can cause a wide range of symptoms, including fever, headache, fatigue, and a characteristic rash. If left untreated, it can lead to more serious complications such as joint inflammation (arthritis), heart problems (carditis), and even death.
Copyright © 2023 Elsevier, except certain content provided by third parties
Cookies are used by this site.
USMLE® is a joint program of the Federation of State Medical Boards (FSMB) and the National Board of Medical Examiners (NBME). COMLEX-USA® is a registered trademark of The National Board of Osteopathic Medical Examiners, Inc. NCLEX-RN® is a registered trademark of the National Council of State Boards of Nursing, Inc. Test names and other trademarks are the property of the respective trademark holders. None of the trademark holders are endorsed by nor affiliated with Osmosis or this website.