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caused by the spirochaete Borrelia burgdorferi and is spread by ticks

''Features''
    early: erythema chronicum migrans + systemic features (fever, arthralgia)
    CVS: heart block, myocarditis
    neuro: cranial nerve palsies, meningitis

''Investigation''
    serology: antibodies to Borrelia burgdorferi

''Management''
    doxycycline if early disease. Amoxicillin is an alternative if doxycycline is contraindicated (e.g. pregnancy)
    ceftriaxone if disseminated disease
    Jarisch-Herxheimer reaction is sometimes seen after initiating therapy: fever, rash, tachycardia after first dose of antibiotic (more commonly seen in syphilis, another spirochaetal disease)