Stage 3 is called late disseminated Lyme disease. The bacteria have spread throughout the body. Risk factors for Lyme disease include: Doing outside activities that increase tick exposure for example, gardening, hunting, or hiking in an area where Lyme disease occurs Having a pet that may carry infected ticks home Walking in high grasses in areas where Lyme disease occurs Important facts about tick bites and Lyme disease: A tick must be attached to your body for 24 to 36 hours in order to spread the bacteria to your blood.
Blacklegged ticks can be so small that they are almost impossible to see. Many people with Lyme disease never even see or feel a tick on their body. Most people who are bitten by a tick do not get Lyme disease.
They are similar to the flu and may include: Fever and chills General ill feeling Headache Joint pain Muscle pain Stiff neck There may be a "bull's eye" rash, a flat or slightly raised red spot at the site of the tick bite.
Symptoms may come and go. Untreated, the bacteria can spread to the brain, heart, and joints. Symptoms of early disseminated Lyme disease stage 2 may occur weeks to months after the tick bite, and may include: Numbness or pain in the nerve area Paralysis or weakness in the muscles of the face Heart problems, such as skipped heartbeats palpitations , chest pain, or shortness of breath Symptoms of late disseminated Lyme disease stage 3 can occur months or years after the infection.
Other symptoms may include: Abnormal muscle movement Joint swelling Muscle weakness Numbness and tingling Speech problems Thinking cognitive problems. Exams and Tests. Other tests that may be done when the infection has spread include: Electrocardiogram Echocardiogram to look at the heart MRI of the brain Spinal tap lumbar puncture to examine spinal fluid. A single dose of the antibiotic doxycycline may be given to someone soon after being bitten by a tick, when all of these conditions are true: The person has a tick that can carry Lyme disease attached to his or her body.
This usually means that a nurse or doctor has looked at and identified the tick. The tick is thought to have been attached to the person for at least 36 hours. The person is able to start taking the antibiotic within 72 hours of removing the tick. The person is 8 years or older and is not pregnant or breastfeeding. A day to 4-week course of antibiotics is used to treat people who are diagnosed with Lyme disease, depending on the choice of drug: The choice of antibiotic depends on the stage of the disease and the symptoms.
Common choices include doxycycline, amoxicillin, azithromycin, cefuroxime, and ceftriaxone. Outlook Prognosis. Possible Complications. Brain and nervous system problems are also possible, and may include: Decreased concentration Memory disorders Nerve damage Numbness Pain Paralysis of the face muscles Sleep disorders Vision problems.
When to Contact a Medical Professional. Call your provider if you have: A large, red, expanding rash that may look like a bull's eye. Had a tick bite and develop weakness, numbness, tingling, or heart problems. Symptoms of Lyme disease, especially if you may have been exposed to ticks.
If you do walk or hike in these areas, take measures to prevent tick bites: Wear light-colored clothing so that if ticks land on you, they can be spotted and removed. Wear long sleeves and long pants with pant legs tucked into your socks. Spray exposed skin and your clothing with insect repellant , such as DEET or permethrin. Follow instructions on the container. After returning home, remove your clothes and thoroughly inspect all skin surface areas, including your scalp.
Shower as soon as possible to wash off any unseen ticks. If a tick is attached to you, follow these steps to remove it : Grasp the tick close to its head or mouth with tweezers. DO NOT use your bare fingers. If needed, use a tissue or paper towel. Lyme Disease. Resources Find an Expert. What is Lyme disease? What causes Lyme disease? They are usually found in the Northeast Mid-Atlantic Upper Midwest Pacific coast, especially northern California These ticks can attach to any part your body.
Who is at risk for Lyme disease? What are the symptoms of Lyme disease? The symptoms can include A red rash called erythema migrans EM. Most people with Lyme disease get this rash. It gets bigger over several days and may feel warm. It is usually not painful or itchy. As it starts to get better, parts of it may fade. Sometimes this makes the rash look like a "bull's-eye. The symptoms may include Severe headaches and neck stiffness Additional EM rashes on other areas of your body Facial palsy, which is a weakness in your facial muscles.
It can cause drooping on one or both sides of your face. Arthritis with severe joint pain and swelling, especially in your knees and other large joints Pain that comes and goes in your tendons, muscles, joints, and bones Heart palpitations, which are feelings that your heart is skipping a beat, fluttering, pounding, or beating too hard or too fast An irregular heart beat Lyme carditis Episodes of dizziness or shortness of breath Inflammation of the brain and spinal cord Nerve pain Shooting pains, numbness, or tingling in the hands or feet How is Lyme disease diagnosed?
To make a diagnosis, your health care provider will consider Your symptoms How likely it is that you were exposed to infected blacklegged ticks The possibility that other illnesses may cause similar symptoms Results of any lab tests Most Lyme disease tests check for antibodies made by the body in response to infection.
What are the treatments for Lyme disease? Can Lyme disease be prevented? To prevent Lyme disease, you should lower your risk of getting a tick bite: Avoid areas where ticks live, such as grassy, brushy, or wooded areas. If you are hiking, walk in the center of the trail to avoid brush and grass. Also tuck your shirt into your pants and your pant legs into your socks. Check yourself, your children, and your pets daily for ticks.
Carefully remove any ticks you find. Signs and Symptoms of Untreated Lyme Disease. Minus Related Pages. The appearance of the erythema migrans rash can vary widely.
Photos of Rashes. Later Signs and Symptoms days to months after tick bite. Swollen Knee. Facial Palsy.
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