Deer Tick

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Lyme Disease


Lyme disease was first described in the United States in the town of Old Lyme, Connecticut in 1975, but has now been reported in most parts of the United States. Most cases occur in the Northeast, upper Midwest, and along the Pacific coast. Mice and deer are the most commonly infected animals that serve as host to the tick. Most infections occur in the summer.

The disease is difficult to diagnose, because the symptoms mimic other diseases. A characteristic red rash usually occurs at the site of the bite; however, the bite may go unnoticed. A few months after the bite, muscle paralysis, joint inflammation, neurological symptoms and sometimes heart symptoms may occur.

The CDC began surveillance for Lyme disease in 1982 and the Council of State and Territorial Epidemiologists (CSTE) designated Lyme disease as a nationally notifiable disease in January 1991.


Deer Tick or Black-legged Tick (Ixodes scapularis)
Pacific Black-legged Tick (Ixodes pacificus)

Causative Agent:

Borrelia burgdorferi
Borrelia lonsestari
Lyme bacteria Borrelia burgdorferi

Endemic Area:

Northeast including Dutchess County, NY
Upper Midwest and Northwest

Incubation Period:

3 days - 6 months

Classic Symptoms:

Bull's eye rash (Erythema migrans)
Erythema migrans bull's eye rash
Constitutional symptoms
Musculoskeletal symptoms
Wide range of Neurological symptoms including Bell's Palsy

Lab Test(s):



Antibiotics; including Amoxicillin, Doxycycline, Ceftin or Ceftriaxone. Treatment failures requirement repeated courses of antibiotics have been reported.

Search the Center for Disease Control, The National Institute of Health or PubMed for more information on Lyme Disease.

Source: Dutchess County DOH, National Institute of Health








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