Lyme Disease Pearls Epidemiology: Ixodes scapularis carrying borrelia have spread and are now found in growing areas in New England, Mid- Atlantic and Midwest states Also found in Canada (Quebec, Montreal, Nova Scotia) and Europe (Austria, Czech Republic, southern Germany, Switzerland, Slovakia and Slovenia) Treatment: TREATMENT Shorter course of antibiotics for early lyme (10 days vs 21 days) is fine Treating with doxycycline in kids <8 years old is fine #Diagnosis #Management #LymeDisease #Pearls #Map #Testing