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Research ArticleCurrent Practice

Lyme disease

A zoonotic disease of increasing importance to Canadians

N.H. Ogden, H. Artsob, L.R. Lindsay and P.N. Sockett
Canadian Family Physician October 2008, 54 (10) 1381-1384;
N.H. Ogden
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  • For correspondence: Nicholas_Ogden@phac-aspc.gc.ca
H. Artsob
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L.R. Lindsay
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P.N. Sockett
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    Figure 1

    Nymphal black-legged ticks (Ixodes scapularis) in various stages of engorgement

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    Figure 2 Adult female black-legged ticks (I scapularis) in various stages of engorgement

    Black-legged ticks transmit Borrelia burgdorferi in both nymphal and adult female life stages

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    Figure 3

    A patient with an erythema migrans lesion

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    Figure 4 A patient with an erythema migrans lesion

    The small central area of inflammation is likely a response to the tick bite, not to Borrelia burgdorferi

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    Figure 5

    A patient suffering from neuroborreliosis (Bell palsy)

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    Figure 6

    Lyme arthritis in the knee

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    Figure 7 Known endemic areas for Ixodes scapularis in Canada

    Locations of known endemic populations of I scapularis are indicated by arrows. Areas where bird-borne adventitious ticks have been submitted by the public are indicated by the red circles: the larger the circles, the more ticks have been submitted.9 The western black-legged tick, Ixodes pacificus, is established in much of southern British Columbia.1 Small numbers of I pacificus and I scapularis, presumably carried by migratory birds, have been found in Alberta.9

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Canadian Family Physician: 54 (10)
Canadian Family Physician
Vol. 54, Issue 10
1 Oct 2008
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Lyme disease
N.H. Ogden, H. Artsob, L.R. Lindsay, P.N. Sockett
Canadian Family Physician Oct 2008, 54 (10) 1381-1384;

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N.H. Ogden, H. Artsob, L.R. Lindsay, P.N. Sockett
Canadian Family Physician Oct 2008, 54 (10) 1381-1384;
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