All Journals from Bernard Stacey
Abstract
Lyme disease is an infectious illness that arises from the spirochete, Borrelia burgdorferi transmitted via a bite by Ixodid ticks. There were 768 cases in the United Kingdom (incidence 1.46/100,000) identified by the Health Protection Agency in 2006. Clinical manifestations of Lyme disease can be multi-systemic. It is important for the acute physician to be aware of this condition. Its relative infrequency and unusual presentation can result in delayed diagnosis with potential for suboptimal outcome. Here, we present a case of Lyme disease presenting with abdominal pain and intestinal dysmotility.
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The term Dysphagia originates from a Greek word meaning disordered eating. It is defined as difficulty in swallowing. Dysphagia should not be confused with globus senstation, a feeling of having a lump in the throat, which is unrelated to swallowing and occurs without impaired transit (see below). Although odynophagia (painful swallowing) and phagophobia (fear of swallowing) are symptoms that may be associated with dysphagia it is important to distinguish this in the history.
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