Lyme disease,”Stage 1-Erythema migransStage 2-Flu like s/s-Meningitis, encephalitis-Cranial neuritis-AV block or pericarditis (self-limited w/recurrence)Stage 3-Arthritis-CNS diseaseDX: ELISA. If positive
confirm with W. blot*IgG levels may persist even with adequate treatment for past infectionsTreat: PO doxy (amox or erythro if pregnant or <12yrs)"