PestWorld - September/October 2017 - 31

A Clinical
Look at a
Multisystem
Disorder
BY STUART MITCHELL, DO, PHD, MPH, BCE

W

hen you think of "lime," your mental picture might be one of a cool
beverage with a lime slice for taste.
This is a refreshing experience on any summer
day. When you think of "Lyme disease," your
mental picture might be one of a very unpleasant and potentially lifelong experience that can
begin on that same summer day!
Lyme disease is a bacterial infection transmitted by the Deer tick, Ixodes scapularis or
I. dammini. Lyme disease was discovered in
1975, after researchers investigated a disease
cluster involving children. These children were
diagnosed with juvenile rheumatoid arthritis
in Lyme, CT, and two other areas.
Investigators discovered that affected children lived near wooded areas likely to resource
ticks. They also found that first symptoms typically started in the summer months coinciding
with the height of tick season.
Numerous patients reported a strange skin
rash prior to developing arthritic symptoms.
Many people remembered being bitten by a
tick at the rash site. Investigations indicated

Lyme disease is a multisystem disorder resulting
from a tick injecting spirochete-laden saliva
into the bloodstream or depositing fecal
matter on the skin. After a three to 32 day
incubation period, the spirochetes migrate
outwardly on the skin, causing a rash.
that Deer ticks were infected with a spiralshaped bacterium or spirochete (Borrelia burgdorferi). This spirochete was responsible for the
outbreak of arthritis in Lyme.
Ticks infected with B. burgdorferi mostly
feed and mate on deer during a portion of their
lifecycle. Recent growth of deer populations
in the northeast coupled with development
in rural areas where Deer ticks are found have
contributed to an increasing number of people
with this disease.
Reported cases of Lyme disease and the
number of geographic areas in which it is
found have been on a steady rise. Lyme
disease has been reported in almost every

state. Most cases are concentrated along
coastal Northeastern areas, Mid-Atlantic
states, Wisconsin, Minnesota and Northern
California. Lyme disease is distributed in vast
areas of Asia and Europe. Reports suggest
that Lyme disease is present in South America
as well.
Lyme disease is a multisystem disorder
resulting from a tick injecting spirocheteladen saliva into the bloodstream or depositing fecal matter on the skin. After a three
to 32 day incubation period, the spirochetes
migrate outwardly on the skin, causing a rash.
Dissemination to other skin sites or organs
occurs via the bloodstream and lymphatic
PESTWORLD > SEPTEMBER | OCTOBER 2017

| 31



Table of Contents for the Digital Edition of PestWorld - September/October 2017

President’s Message
Employment Law 101
Safety First
Nine Legal Problems You Can Avoid
Making Safety Part of the Job
Pestworld Preview
Lyme Disease: A Clinical Look at a Multisystem Disorder
Marketing Corner: Five Steps to Nail a Media Interview
Standards: Qualitypro Charts the Future of Credentialing
Ask the Expert
The Cost of a Data Breach Could Put Your Pest Control Operation Out of Business
Membership Programs: The New Npma Health Insurance Exchange
Calendar of Events
Index of Advertisers
PestWorld - September/October 2017 - intro
PestWorld - September/October 2017 - cover1
PestWorld - September/October 2017 - cover2
PestWorld - September/October 2017 - 3
PestWorld - September/October 2017 - 4
PestWorld - September/October 2017 - 5
PestWorld - September/October 2017 - 6
PestWorld - September/October 2017 - 7
PestWorld - September/October 2017 - President’s Message
PestWorld - September/October 2017 - 9
PestWorld - September/October 2017 - Employment Law 101
PestWorld - September/October 2017 - 11
PestWorld - September/October 2017 - 12
PestWorld - September/October 2017 - 13
PestWorld - September/October 2017 - Safety First
PestWorld - September/October 2017 - 15
PestWorld - September/October 2017 - 16
PestWorld - September/October 2017 - 17
PestWorld - September/October 2017 - Nine Legal Problems You Can Avoid
PestWorld - September/October 2017 - 19
PestWorld - September/October 2017 - 20
PestWorld - September/October 2017 - 21
PestWorld - September/October 2017 - Making Safety Part of the Job
PestWorld - September/October 2017 - 23
PestWorld - September/October 2017 - 24
PestWorld - September/October 2017 - 25
PestWorld - September/October 2017 - Pestworld Preview
PestWorld - September/October 2017 - 27
PestWorld - September/October 2017 - 28
PestWorld - September/October 2017 - 29
PestWorld - September/October 2017 - 30
PestWorld - September/October 2017 - Lyme Disease: A Clinical Look at a Multisystem Disorder
PestWorld - September/October 2017 - 32
PestWorld - September/October 2017 - 33
PestWorld - September/October 2017 - Marketing Corner: Five Steps to Nail a Media Interview
PestWorld - September/October 2017 - 35
PestWorld - September/October 2017 - Standards: Qualitypro Charts the Future of Credentialing
PestWorld - September/October 2017 - 37
PestWorld - September/October 2017 - 38
PestWorld - September/October 2017 - Ask the Expert
PestWorld - September/October 2017 - The Cost of a Data Breach Could Put Your Pest Control Operation Out of Business
PestWorld - September/October 2017 - 41
PestWorld - September/October 2017 - 42
PestWorld - September/October 2017 - Membership Programs: The New Npma Health Insurance Exchange
PestWorld - September/October 2017 - 44
PestWorld - September/October 2017 - Calendar of Events
PestWorld - September/October 2017 - Index of Advertisers
PestWorld - September/October 2017 - cover3
PestWorld - September/October 2017 - cover4
PestWorld - September/October 2017 - divider1
PestWorld - September/October 2017 - divider2
PestWorld - September/October 2017 - outsert3
PestWorld - September/October 2017 - outsert4
https://www.nxtbook.com/naylor/NPMAS/NPMAS0418
https://www.nxtbook.com/naylor/NPMAS/NPMAS0318
https://www.nxtbook.com/naylor/NPMAS/NPMAS0218
https://www.nxtbook.com/naylor/NPMAS/NPMAS0118
https://www.nxtbook.com/naylor/NPMAS/NPMAS0617
https://www.nxtbook.com/naylor/NPMAS/NPMAG0017
https://www.nxtbook.com/naylor/NPMAS/NPMAS0517
https://www.nxtbook.com/naylor/NPMAS/NPMAS0417
https://www.nxtbook.com/naylor/NPMAS/NPMAS0317
https://www.nxtbook.com/naylor/NPMAS/NPMAS0217
https://www.nxtbook.com/naylor/NPMAS/NPMAS0117
https://www.nxtbook.com/naylor/NPMAS/NPMAS0616
https://www.nxtbook.com/naylor/NPMAS/NPMAG0016
https://www.nxtbook.com/naylor/NPMAS/NPMAS0516
https://www.nxtbook.com/naylor/NPMAS/NPMAS0416
https://www.nxtbookmedia.com