All of the statements regarding Lymes disease are true, EXCEPT:
CNS involvement in lymes disease is indicated by lymphocytic pleocytosis, elevated protein and normal glucose. Lymphocytic meningitis is confirmed by intrathecal IgM, IgG or IgA antibodies to Borrelia Burdogferi. Borrelia burdogferi replicates in the skin and then disseminates bloodstream to other organs leading to extracutaneous manifestations. 3 Stages of Lymes disease infection are: Stage 1: Flu like symptoms and erythema migrans Stage 2: Facial palsy, meningitis Stage3 : Ahritis
Borellia bourgdroferi replicates locally and invades locally
Infection progresses inspite of good humoral jmmunity
Polymorphonuclear lymphocytosis in CSF suggest meningial involvement
IgA intrathecally confirms meningitis