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      <h2><!-- #BeginEditable "title" -->Lyme Arthritis (Disease) <!-- #EndEditable --></h2>
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      <p>What is it?
      </b> 
      <p>Lyme disease is an infectious disease caused by a spirochete (bacteria) 
        called Borrelia burgdorferi, transmitted by the bite of the deer tick 
        called Ixodes dammini. The disease was first described in the town of 
        Old Lyme in Connecticut, hence the name. 
      <p><b>What are the symptoms?</b></p>
      <p>The child presents with pain and swelling of the knee (although it can 
        affect other joints). There is usually a history of time spent in the 
        woods. The patient may remember having a circular rash that migrates, 
        associated with joint pain, malaise and headaches. 
      <p><b>What does your doctor do about it?</b></p>
      <p>The diagnosis is confirmed by testing for elevated titers (elevated levels) 
        of antibodies IgM and IgG against Borrelia burgdorferi. The sedimentation 
        rate is also elevated. Treatment is by use of Penicillin or tetracycline. 
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      <p><font size="-1"><i>NOTICE: The information presented is for your information 
        only, and not a substitute for the medical advice of a qualified physician. 
        Neither the author nor the publisher will be responsible for any harm 
        or injury resulting from interpretations of the materials in this article.</i></font></p>
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