Thursday, June 16, 2022

Do You Get A Fever With Lyme Disease

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Do you know the signs of Lyme disease?
  • There was a human Lyme disease vaccine, LYMErix, in the late 1990s which was removed from the market in 2002 due to vaccine side effects concerns.
  • The French company, Valneva, is developing an improved Lyme disease vaccine, VLA15, presently in human clinical testing
  • Other novel vaccines are in animal testing
  • There are also mouse vaccination strategies to address that part of the transmission cycle

Untreated Lyme Disease Frequency

Its difficult to get exact numbers when it comes to Lyme disease, in part because theres only limited accounting of the conditions frequency overall, and its often misdiagnosed or mistaken for other conditions.

Currently, its estimated that 476,000 people develop it in the United States every year, with 81% of the cases clustered in the Northeast, upper Midwest, and mid-Atlantic regions.

A significantbut shrinkingproportion of those with the disease end up progressing without treatment. Current estimates are hard to come by. In 2012, researchers estimated that about 16% of Lyme disease cases present without rashincreasing the chance that the case is missed, overall. From 1.6% to 7% of all infections have no symptoms.

Knowledge and awareness of this disease have grown over the past couple of decades, greatly improving outcomes. This improving prognosis is associated with better care and detection, leading to timelier intervention.

If you live in a hot spot area for black-legged ticks, never hesitate to reach out to your healthcare professional if youre feeling sick or have a rash.

What Are The Treatments For Lyme Disease

Lyme disease is treated with antibiotics. The earlier you are treated, the better it gives you the best chance of fully recovering quickly.

After treatment, some patients may still have pain, fatigue, or difficulty thinking that lasts more than 6 months. This is called post-treatment Lyme disease syndrome . Researchers don’t know why some people have PTLDS. There is no proven treatment for PTLDS long-term antibiotics have not been shown to help. However, there are ways to help with the symptoms of PTLDS. If you have been treated for Lyme disease and still feel unwell, contact your health care provider about how to manage your symptoms. Most people do get better with time. But it can take several months before you feel all better.

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Who Is At Risk For Lyme Disease

Anyone can get a tick bite. But people who spend lots of time outdoors in wooded, grassy areas are at a higher risk. This includes campers, hikers, and people who work in gardens and parks.

Most tick bites happen in the summer months when ticks are most active and people spend more time outdoors. But you can get bitten in the warmer months of early fall, or even late winter if temperatures are unusually high. And if there is a mild winter, ticks may come out earlier than usual.

What Are The Early Signs And Symptoms Of Lyme Disease

It
  • Early symptoms can mimic summer flu and other bacterial and viral illnesses: fever, achiness, extreme fatigue and malaise, severe headache or neck ache
  • A red round expanding skin rash may, or may not, be present
  • When present, the expanding skin rash is usually greater than 2 inches in size
  • Rash is not usually extremely itchy
  • Rash lasts for days to weeks and can be accompanied by flu-like symptoms

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How Is Lyme Disease Diagnosed

Your doctor will diagnose you based on your symptoms and whether youâve been exposed to a tick. They might also run a blood test. In the first few weeks of infection, the test may be negative because antibodies take a few weeks to show up.

Hopefully soon, there will be tests that can diagnose Lyme disease in the first few weeks after youâre exposed. The earlier you get treated, the less likely itâll get worse.

Ongoing Symptoms Of Lyme Disease

A few people who are diagnosed and treated for Lyme disease continue to have symptoms, like tiredness, aches and loss of energy, that can last for years.

These symptoms are often compared to fibromyalgia and chronic fatigue syndrome.

It’s not clear why this happens to some people and not others. This means there’s also no agreed treatment.

Speak to a doctor if your symptoms come back, or do not improve, after treatment with antibiotics.

The doctor may be able to offer you further support if needed, such as:

  • referral for a care needs assessment
  • telling your employer, school or higher education institution that you require a gradual return to activities
  • communicating with children and families’ social care

Page last reviewed: 05 July 2021 Next review due: 05 July 2024

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Is Maternal Transmission Of Lyme Disease Possible

  • Untreated Lyme disease during pregnancy can lead to infection of the placenta, and the infection can spread from mother to fetus.
  • The CDC states that with appropriate maternal antibiotic treatment there is no increased risk of adverse birth outcomes.
  • However, there are no published studies assessing developmental outcomes of children whose mothers acquired Lyme disease during pregnancy. More research is needed to better understand maternal transmission and its potential risks.

Early Symptoms Of Lyme Disease

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Symptoms of Lyme disease in humans can be vague, and chances are you have no idea youve been bitten by an infected tick until symptoms surface.

Ticks secrete an anesthetic that makes their bites painless, explains Christine Green, MD, a family physician in Mountain View, California, and a member of the Bay Area Lyme Foundations scientific advisory board. Plus, theyre tiny. A young, immature tick, called a nymphthe stage of development during which these bloodsuckers are most likely to transmit Lyme diseaseis roughly the size of a pinhead when it latches on, so you dont know its there, she tells Health.

According to the CDC, the incubation period for Lymein other words, the time between a persons exposure to Borrelia bacteria and symptom onsetranges from three to 30 days. The main symptoms of Lyme disease in the early days and weeks after infection can include:

  • Fever

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Early Detection Is Key

Stephen Morse, PhD, an epidemiologist at the Columbia University Mailman School of Public Health, said that the findings were reassuring.

The general wisdom about it was even if you didnt find the tick immediately it would take about 48 hours, to contract Lyme disease, said Morse. This seems to be true here, too.

Morse said the data can help to inform people on how to enjoy the outdoors safely.

He pointed out that in areas with high numbers of ticks, people may need to take precautions even if they just go into their own backyards.

If youve got a nice backyard, use that mosquito repellent or bug repellent, he said.

In addition, there are obviously the usual precautions of dont leave a lot of exposed skin, and be careful if youre climbing the underbrush.

How To Avoid Tick Bites

To reduce the chance of being bitten:

  • cover your skin while walking outdoors and tuck your trousers into your socks
  • use insect repellent on your clothes and skin products containing DEET are best
  • stay on clear paths whenever possible
  • wear light-coloured clothing so ticks are easier to see and brush off

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Complications Of Untreated Lyme Disease

If unchecked, the Lyme disease infection can spread to other bodily systems, causing significant damage. Untreated, complications of this condition can be very severe:

  • Arthritis:Prolonged infection with Lyme disease leads to chronic joint inflammation and swelling, usually in the knees . These symptoms tend to arise within two years of infection, with periods of flare-ups and remissions. This arthritis is relatively difficult to manage, though antibiotics and steroids may be attempted.
  • Lyme carditis:If the bacteria reach the heart tissues, they can cause inflammation and lead to heart block. The electrical signals being sent between the upper and lower chambers of the heart are interrupted, impairing the coordination of the heartbeat. Though disruptive, this is rarely fatal.
  • Lyme neuroborreliosis:Inflammation of multiple nerves, including those in the spine and brain, is the chief characteristic of this condition. This can also affect the meningesthe layer of tissue surrounding the brain and spineleading to meningitis, among other conditions. Antibiotic therapy, if applied promptly, tends to be effective as a treatment.

Even in cases where Lyme disease has progressed, antibiotic regimensespecially drugs like doxycyclineare generally successful in resolving problems.

What Are The Symptoms Of Lyme Disease

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Symptoms can start anywhere from 3 to 30 days after the bite. They may look different depending on the stage of your infection. In some cases, you wonât notice any symptoms until months after the bite.

Early symptoms include:

All of those symptoms are also common in the flu. In most Lyme infections, one of the first symptoms youâll notice is a rash.

Without treatment, symptoms can get worse. They might include:

  • Severe headache or neck stiffness
  • Rashes on other areas of your body
  • Arthritis with joint pain and swelling, particularly in your knees
  • âDroopingâ on one or both sides of your face
  • Inflammation in your brain and spinal cord
  • Shooting pains, numbness, or tingling in your hands or feet

What does the rash look like?

Some Lyme rashes look like a bull’s-eye with circles around the middle. But most are round, red, and at least 2 inches across.

The rash slowly gets bigger over several days. It can grow to about 12 inches across. It may feel warm to the touch, but itâs usually not itchy or painful. It can show up on any part of your body.

How small are ticks?

Ticks come in three sizes, depending on their life stage. They can be the size of a grain of sand, a poppy seed, or an apple seed.

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Living With Lyme Disease

Most people treated in the early stages of Lyme disease make a quick and complete recovery. Some may experience symptoms for a few weeks after treatment. If you were treated for Lyme disease but you still dont feel well, call your family doctor. He or she can make sure there isnt something else wrong. They can help you find ways to ease your symptoms. Some patients have found relief with treatments typically used for chronic fatigue syndrome or fibromyalgia.

Other things you can do to help manage Lyme disease include:

  • Educate yourself.There is a lot of inaccurate information to be sorted through, especially on the internet. Ask your doctor if you have questions.
  • Track your symptoms.Keep a diary of your sleep patterns, eating habits, exercise routines, and how youre feeling. You or your doctor may be able to make connections between them.
  • Take care of yourself.Eat a healthy diet. Exercise as regularly as you can. Get plenty of rest.

Find support. It can be hard to not feel well and not know why. Some people may think your symptoms arent real. Talk to friends and family. If they cant offer support, talk with a counselor who can help you.

Stage : Early Disseminated Lyme Disease

Early disseminated Lyme disease occurs several weeks to months after the tick bite.

Youll have a general feeling of being unwell, and a rash may appear in areas other than the tick bite.

This stage of the disease is primarily characterized by evidence of systemic infection, which means infection has spread throughout the body, including to other organs.

Symptoms can include:

  • disturbances in heart rhythm, which can be caused by Lyme carditis
  • neurologic conditions, such as numbness, tingling, facial and cranial nerve palsies, and meningitis

The symptoms of stages 1 and 2 can overlap.

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How Serious Is Lyme Disease

The Mayo Clinic explains: “Untreated, Lyme disease can spread to other parts of your body for several months to years after infection, causing arthritis and nervous system problems.”

Given its potential seriousness, the health body says to “visit your doctor even if signs and symptoms disappear the absence of symptoms doesn’t mean the disease is gone”.

Seek Medical Care Early To Prevent Lyme Disease From Progressing

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Its easy to get bit by a tick and not know it. Most people dont feel a tick on their skin or the bite. Checking your skin for ticks after spending time outdoors can help you find a tick and remove it.

Removing a tick can prevent Lyme disease. A tick must be attached to your skin for at least 36 hours to infect you with the bacteria that cause Lyme disease.

Its not always possible to find a tick, so its important to pay close attention to your skin. If you notice any signs of Lyme disease or develop a rash, get medical care right away. Ticks can cause other serious diseases, such as Rocky Mountain spotted fever.

Related AAD resources

ImagesImage 1: Centers for Disease Control and Prevention, Public Health Image Library, Last accessed May 11, 2017.

Images 2, 3, and 7: Used with permission of the Journal of the American Academy of Dermatology. J Am Acad Dermatol. 2011 64:619-36.

Image 6: Used with permission of the American Academy of Dermatology National Library of Dermatologic Teaching Slides.

ReferencesBhate C and Schwartz RA.

  • Lyme disease: Part I. Advances and perspectives. J Am Acad Dermatol. 2011 64:619-36.

  • Lyme disease: Part II. Management and prevention. J Am Acad Dermatol 2011 64:639-53.

Centers for Disease Control and Prevention:

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Prevention Of Lyme Disease

People should take precautions to avoid being bitten by a tick. If people may have been exposed to ticks, they should check their whole body very carefully after each possible exposure and remove any ticks they find. Checking is effective because ticks must usually be attached for more than a day and a half to transmit Lyme disease.

Learn The Stages Of Lyme Disease

Lyme disease occurs in three stages: early localized, early disseminated and late disseminated. However the stages can overlap and not all patients go through all three. A bulls-eye rash is usually considered one of the first signs of infection, but many people develop a different kind of rash or none at all. In most cases, Lyme symptoms can start with a flu-like illness. If untreated, the symptoms can continue to worsen and turn into a long-lived debilitating illness.

Stage 1: Early Localized Disease

Symptoms with early localized Lyme disease may begin hours, a few days or even weeks after a tick bite. At this point, the

infection has not yet spread throughout the body. Lyme is the easiest to cure at this stage.

Symptoms may include:

  • skin rash, which may or may not look like a bulls eye
  • flu-like illness, including chills and fever
  • fatigue
  • muscle soreness and joint pain
  • swollen lymph nodes
  • sore throat
Stage 2: Early Disseminated Lyme

Early disseminated Lyme may occur several weeks or months after the tick bite. Bacteria are beginning to spread throughout the body. In addition to flu-like symptoms, this stage is often characterized by increase in symptoms such as:

  • chills
  • pain, weakness or numbness in the arms, legs
  • vision changes
  • heart problems, such as palpitations, chest pain
  • rash may appear on body
  • facial paralysis
Stage 3: Late Disseminated Lyme Disease

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What You Need To Know About Lyme Disease

  • Lyme disease is an infection caused by the spiral-shaped bacteria Borrelia burgdorferi, which is most commonly transmitted by a tick bite.

  • There are over 300,000 estimated new cases of Lyme disease in the United States each year.

  • The symptoms of Lyme disease depend on the how long the infection has been present in the body. The first sign of Lyme disease is often an expanding round or oval red “bullseye” rash.

  • If left untreated, people may develop neurological symptoms and heart problems, and have an approximately 60 percent chance of developing Lyme arthritis.

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Disclaimer: The above material is provided for information purposes only. The material is not nor should be considered, or used as a substitute for, medical advice, diagnosis, or treatment, nor does it necessarily represent endorsement by or an official position of Global Lyme Alliance, Inc. or any of its directors, officers, advisors or volunteers. Advice on the testing, treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patients medical history. Global Lyme Alliance, Inc. makes no warranties of any kind regarding this Website, including as to the accuracy, completeness, currency or reliability of any information contained herein, and all such warranties are expressly disclaimed.

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Later Signs Of Lyme Disease

What if Lyme disease isnt detected early on? The longer that disease-causing bacteria linger in the body, the more they disseminate, and as these microbes spread to tissues throughout the body, they can trigger a litany of symptoms. CDC says these may include:

  • Severe headaches and neck stiffness
  • Additional EM rashes. These lesions may pop up on other areas of the body
  • A type of facial paralysis known as Bells palsy
  • Arthritis with severe joint pain and swelling. Knees and other large joints are vulnerable
  • Intermittent pain in tendons, muscles, joints, and bones
  • Nerve pain
  • Shooting pains, numbness, or tingling in the hands or feet

You might have persistent or episodic symptoms, says Dr. Green. Pain that seems to move through the body? Thats common too. The hallmark of late Lyme is migratory joint pain: today my right knee hurts and tomorrow Im limping on my left ankle, and, oh, my third finger of my right hand swelled up, and, oh, my neck has swelled up, she says.

In rare cases, Lyme disease bacteria can enter the tissues of the heart. This complication, called Lyme carditis, can lead to lightheadedness, fainting, shortness of breath, heart palpitations, or chest pain.

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