SlideShare una empresa de Scribd logo
1 de 49
The Modern World Epidemic Lyme Disease
[object Object],[object Object],[object Object],[object Object]
What is Lyme Disease? ,[object Object],[object Object],[object Object]
 
 
 
Ixodes Pacificus  Tick  fully engorged
 
Barbed Mouthpiece of Tick
Symptoms of Lyme ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examples of Erythra Migrans  (Bull’s Eye Rash)
Current Canadian Diagnosis &Testing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Controversy in Testing ,[object Object],[object Object],[object Object]
Why Testing Fails Canadians ,[object Object],[object Object],[object Object]
Current Canadian Treatment  Protocol ,[object Object],[object Object]
Treatment Controversy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Lyme Bacterium  Borrelia bergdorferi  in spirochete formation   Successfully killed by antibiotics in this stage
Cystic Form of  Borrelia bergdorferi , Lyme bacteria Special drug treatment required during this stage
Why Treatment Protocol Must Change ,[object Object],[object Object],[object Object],[object Object]
Why Research is Desperately Needed ,[object Object]
 
With approximately 20,000 new cases reported each year,  Lyme disease is the most common vector-borne disease in the United States   Since Lyme disease became nationally notifiable in 1991, the  annual number of reported cases has more than doubled.  A more accurate estimate is suspected of  being 10-fold these numbers.
Spread extrapolated by known Growth Rate  2006 to 2007
Geographical Locations of Tick Species
[object Object],[object Object],[object Object],[object Object],[object Object]
 
Global Warming is Affecting the Spread of Tick Borne Infections across our Nation
Complexity of Ecological Factors Affecting Lyme
Relationships Affecting Tick Borne Illness Incidence
[object Object],[object Object],[object Object],[object Object]
Possible transplacental transmission of  Borrelia burgdorferi  at the time of conception and delivery?
 
[object Object],[object Object],[object Object]
 
 
 
 
 
[object Object],[object Object],[object Object],[object Object]
URGENTLY NEEDED ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Más contenido relacionado

La actualidad más candente (20)

tick borne encephalitis
tick borne encephalitistick borne encephalitis
tick borne encephalitis
 
Lyme Disease
Lyme DiseaseLyme Disease
Lyme Disease
 
Cabrera, jt borrelia burgdorferi
Cabrera, jt  borrelia burgdorferiCabrera, jt  borrelia burgdorferi
Cabrera, jt borrelia burgdorferi
 
brucellosis
brucellosisbrucellosis
brucellosis
 
Borrelia lyme disease
Borrelia lyme diseaseBorrelia lyme disease
Borrelia lyme disease
 
Pseudotuberculosis
PseudotuberculosisPseudotuberculosis
Pseudotuberculosis
 
Botulism2
Botulism2Botulism2
Botulism2
 
Pertussis (whooping cough)
Pertussis (whooping cough)Pertussis (whooping cough)
Pertussis (whooping cough)
 
5 Hemorrhagic Fever With Renal Syndrome
5 Hemorrhagic Fever With Renal Syndrome5 Hemorrhagic Fever With Renal Syndrome
5 Hemorrhagic Fever With Renal Syndrome
 
Rickettsiae
RickettsiaeRickettsiae
Rickettsiae
 
Tularemia
TularemiaTularemia
Tularemia
 
Leptospirosis
LeptospirosisLeptospirosis
Leptospirosis
 
Brucellosis ppt
Brucellosis pptBrucellosis ppt
Brucellosis ppt
 
Zoonotic infection
Zoonotic infectionZoonotic infection
Zoonotic infection
 
Relapsing fever
Relapsing feverRelapsing fever
Relapsing fever
 
Plague
PlaguePlague
Plague
 
Pertusis
PertusisPertusis
Pertusis
 
Yellow fever virus
Yellow fever virusYellow fever virus
Yellow fever virus
 
Typhus
TyphusTyphus
Typhus
 
Brucellosis
BrucellosisBrucellosis
Brucellosis
 

Similar a Lyme Disease

Day 2 senior healthcare consultant conference
Day 2 senior healthcare consultant conferenceDay 2 senior healthcare consultant conference
Day 2 senior healthcare consultant conferencenomadicnurse
 
Geriatric Population. Geriatric Palliative and End-of-Life Care.
Geriatric Population. Geriatric Palliative and End-of-Life Care.Geriatric Population. Geriatric Palliative and End-of-Life Care.
Geriatric Population. Geriatric Palliative and End-of-Life Care.Michelle Peck
 
Introduction of Diseases and Virology
Introduction of Diseases and VirologyIntroduction of Diseases and Virology
Introduction of Diseases and VirologyFLI
 
infective endocarditis krm
infective endocarditis krminfective endocarditis krm
infective endocarditis krmKailash Raj
 
Approach to a child with dysmorphism
Approach to a child with dysmorphismApproach to a child with dysmorphism
Approach to a child with dysmorphismS. Ismat
 
GROUP-3-CWTS2.pptx
GROUP-3-CWTS2.pptxGROUP-3-CWTS2.pptx
GROUP-3-CWTS2.pptxRiyanElaine
 
Human health and disease
Human health and diseaseHuman health and disease
Human health and diseaseRoxelle Mercado
 
Infectious And Noninfectious Diseases Spring 2006
Infectious And Noninfectious Diseases Spring 2006Infectious And Noninfectious Diseases Spring 2006
Infectious And Noninfectious Diseases Spring 2006Patty Melody
 
Approach to patient with fever
Approach to patient with feverApproach to patient with fever
Approach to patient with feverdrfarhatbashir
 
Audiological Finding in High-Risk Child (Meningitis)
Audiological Finding in High-Risk Child (Meningitis) Audiological Finding in High-Risk Child (Meningitis)
Audiological Finding in High-Risk Child (Meningitis) AmbrishTiwari15
 

Similar a Lyme Disease (20)

Day 2 senior healthcare consultant conference
Day 2 senior healthcare consultant conferenceDay 2 senior healthcare consultant conference
Day 2 senior healthcare consultant conference
 
Lupus suffers
Lupus suffersLupus suffers
Lupus suffers
 
Geriatric Population. Geriatric Palliative and End-of-Life Care.
Geriatric Population. Geriatric Palliative and End-of-Life Care.Geriatric Population. Geriatric Palliative and End-of-Life Care.
Geriatric Population. Geriatric Palliative and End-of-Life Care.
 
Introduction of Diseases and Virology
Introduction of Diseases and VirologyIntroduction of Diseases and Virology
Introduction of Diseases and Virology
 
Fcs 340 presenation
Fcs 340 presenation Fcs 340 presenation
Fcs 340 presenation
 
infective endocarditis krm
infective endocarditis krminfective endocarditis krm
infective endocarditis krm
 
Approach to a child with dysmorphism
Approach to a child with dysmorphismApproach to a child with dysmorphism
Approach to a child with dysmorphism
 
Down Syndrome
Down SyndromeDown Syndrome
Down Syndrome
 
Dysautonomia
DysautonomiaDysautonomia
Dysautonomia
 
GROUP-3-CWTS2.pptx
GROUP-3-CWTS2.pptxGROUP-3-CWTS2.pptx
GROUP-3-CWTS2.pptx
 
Restless
RestlessRestless
Restless
 
Crying baby practical approach
Crying baby  practical approachCrying baby  practical approach
Crying baby practical approach
 
Human health and disease
Human health and diseaseHuman health and disease
Human health and disease
 
Std chart master[1]
Std chart master[1]Std chart master[1]
Std chart master[1]
 
Infectious And Noninfectious Diseases Spring 2006
Infectious And Noninfectious Diseases Spring 2006Infectious And Noninfectious Diseases Spring 2006
Infectious And Noninfectious Diseases Spring 2006
 
Approach to patient with fever
Approach to patient with feverApproach to patient with fever
Approach to patient with fever
 
Dizziness Inservice
Dizziness InserviceDizziness Inservice
Dizziness Inservice
 
Pediatric palliative care
Pediatric palliative carePediatric palliative care
Pediatric palliative care
 
Audiological Finding in High-Risk Child (Meningitis)
Audiological Finding in High-Risk Child (Meningitis) Audiological Finding in High-Risk Child (Meningitis)
Audiological Finding in High-Risk Child (Meningitis)
 
JIA 101: Welcome to the Club
JIA 101: Welcome to the ClubJIA 101: Welcome to the Club
JIA 101: Welcome to the Club
 

Último

♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...astropune
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeCall Girls Delhi
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋TANUJA PANDEY
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Dipal Arora
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...narwatsonia7
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipurparulsinha
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Servicevidya singh
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...CALL GIRLS
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...chandars293
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...hotbabesbook
 

Último (20)

♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
♛VVIP Hyderabad Call Girls Chintalkunta🖕7001035870🖕Riya Kappor Top Call Girl ...
 
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bangalore Just Call 9907093804 Top Class Call Girl Service Available
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any TimeTop Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
Top Quality Call Girl Service Kalyanpur 6378878445 Available Call Girls Any Time
 
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Ooty Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service AvailableCall Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
Call Girls Gwalior Just Call 8617370543 Top Class Call Girl Service Available
 
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Aurangabad Just Call 9907093804 Top Class Call Girl Service Available
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
Top Rated Bangalore Call Girls Richmond Circle ⟟ 8250192130 ⟟ Call Me For Gen...
 
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls JaipurRussian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
Russian Call Girls in Jaipur Riya WhatsApp ❤8445551418 VIP Call Girls Jaipur
 
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort ServicePremium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
Premium Call Girls Cottonpet Whatsapp 7001035870 Independent Escort Service
 
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Jabalpur Just Call 9907093804 Top Class Call Girl Service Available
 
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
Call Girls Service Surat Samaira ❤️🍑 8250192130 👄 Independent Escort Service ...
 
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Bareilly Just Call 9907093804 Top Class Call Girl Service Available
 
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...Top Rated  Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
Top Rated Hyderabad Call Girls Erragadda ⟟ 6297143586 ⟟ Call Me For Genuine ...
 
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
Night 7k to 12k Chennai City Center Call Girls 👉👉 7427069034⭐⭐ 100% Genuine E...
 

Lyme Disease