What Is The Prognosis Of Lyme Disease
Prognosis is excellent and most patients recover completely, especially if treated early with appropriate antibiotics. Sometimes a recurrent infection can occur with certain strains, but Lyme disease can be managed well with medication. Co-infection by other organisms transmitted by the same tick bite can occur.
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How Common Is Untreated Lyme Disease
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.
Some Chronic Lyme Disease Symptoms
As mentioned, chronic Lyme disease consists of a broad cluster of physical, cognitive, and psychiatric symptoms. Some of these symptoms are much more common, while others almost never occur, but can be deadly. But even the less severe symptoms, such as chronic fatigue and pain, can lead to drastic changes in quality of life for chronic Lyme patients.
Chronic Lyme survivors have reported experiencing the following symptoms for months to years after infection:
- Intermittent fevers, chills, and sweats
- Chronic inflammation
- Numbness and tingling in the limbs
- Dizziness and shortness of breath
- Heart palpitations and irregular heartbeat
- Anxiety and paranoia
- Multiple-chemical sensitivities
Chronic Lyme disease can be linked to deadly symptoms, such as Lyme carditis .
According to Lymedisease.org, studies consistently show that chronic Lyme disease patients have poorer quality of life than those with other chronic diseases. One of their own studies showed that 75% of surveyed patients reported at least one symptom as severe or very severe.
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How Do You Know If You Have Chronic Lyme Disease
Chronic Lyme disease is an ongoing Borrelia burgdorferi infection that can involve any body system or tissue. The infection produces a wide range of symptoms and signs, which can be debilitating for some patients. Common symptoms include severe fatigue, migratory musculoskeletal pain, headaches, and impaired memory.
How Do You Get Rid Of Chronic Lyme Disease
Although most cases of Lyme disease can be cured with a 2- to 4-week course of oral antibiotics, patients can sometimes have symptoms of pain, fatigue, or difficulty thinking that lasts for more than 6 months after they finish treatment. This condition is called Post-Treatment Lyme Disease Syndrome .
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Enhancing Healthcare Team Outcomes
The key to Lyme disease is prevention and this requires an interprofessional team approach. All healthcare workers including the nurse practitioner, pharmacist, and primary care provider should provide patient education on measures to prevent tick bites while hiking or working outdoors. In areas where ticks are common, cleaning up of the environment by removing the underbrush and spraying an insecticide may reduce the tick burden in the area. The outdoors person should be told to wear appropriate garments and be familiar with the skin features of the tick bite. The nurse should educate the patient on how to remove the tick from the skin and when to seek medical assistance. The pharmacist should educate the patient on medication compliance for those who have been confirmed to have acquired Lyme disease.
Nurses should educate parents how to inspect their children for ticks at the end of an outdoor event, in an endemic area. While there are many repellants on the market, it is best to avoid them as the risk of harm is greater than any benefit. If one is going to use a repellant, DEET is the one product that is safe, however, it is not 100% effective. finally, the pharmacist should educate the patient about the harms of taking prophylactic doxycycline a better strategy is to remove the tick as soon as it is visualized.
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A tick can transmit the disease once it has been attached to a dog for 24 to 48 hours.
First named when a number of cases occurred in Lyme, Connecticut, in 1975, the disease can be hard to detect and can cause serious, ongoing health problems in both dogs and people.
Many animals can have Lyme disease and show no signs. In dogs, the most common signs include fever, loss of appetite, painful or swollen joints, lameness that comes and goes, swollen lymph nodes, and lethargy. If Lyme disease is left untreated it can lead to damage in the kidneys, nervous system, and heart.
In the past, it may have been difficult for dogs to survive Lyme disease due to the inability to diagnose the disease.
Now, there are numerous tests for vets to use to determine whether or not your pooch has Lyme disease.
These symptoms are caused by the Borrelia burgdorferi bacterium in the bite of an infected tick.
Antibiotics generally provide relief from Lyme disease, but relapses can occur.
Spot-on tick-control products can kill or repel ticks that carry Lyme disease, as can some tick collars.
There is a Lyme disease vaccine for dogs, but its not always part of a dogs routine vaccination protocol.
Antibiotics generally provide relief from Lyme disease, but relapses can occur.
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Early Localized Lyme Disease
Early localized disease, the initial manifestation, begins between three and 30 days after a bite. It is characterized by:
- Bullseye rash and swelling,the most notorious symptom, occurs in 70% to 80% of cases. Clinically referred to as erythema migrans, its appearance variesit can be a different color or shapeespecially in people of color. It arises about a week after exposure to the bacteria.
- Other symptoms of the first stage include fever, fatigue, headache, and joint pain. Very often, those with the conditionespecially if there is no rashfeel as if theyre experiencing the flu.
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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Chronic Lyme Disease Patients Profoundly Debilitated
Many patients with chronic Lyme disease are profoundly debilitated. Investigators of the four NIH-sponsored retreatment trials documented that the patients quality of life was consistently worse than that of control populations and equivalent to that of patients with congestive heart failure. Pain levels were similar to those of post-surgical patients, and fatigue was on par with that seen in multiple sclerosis.
An LDo published survey of over 3,000 patients with chronic Lyme disease found that patients suffer a worse quality of life than most other chronic illnesses, including congestive heart failure, diabetes, multiple sclerosis and arthritis. Over 70% of patients with chronic Lyme disease reported fair or poor health. Similar results have been found in other studies. Many of the symptoms associated with Lyme disease are common in other diseases. The CDC surveillance criteria for confirmed cases specifically exclude most of the symptoms that patients report, including fatigue, sleep impairment, joint pain, muscle aches, other pain, depression, cognitive impairment, neuropathy, and headaches. However, these common symptoms can be severe and may seriously affect quality of life.
Where Can I Get More Information
- For questions about your own health, contact your doctor, nurse, or clinic
- For questions about diseases spread by ticks, contact the MDPH at 983-6800 or online on the MDPH Tickborne Diseases website . You may also contact your local Board of Health .
- Health effects of pesticides, MDPH, Bureau of Environmental Health at 624-5757
Chinese, Haitian Creole, Portuguese, Spanish, and Vietnamese translations of this fact sheet are available under additional resources.
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Quels Antibiotiques Pour Lyme
Les antibiotiques recommandés sont la doxycycline, lamoxicilline ou la ceftriaxone. La durée des traitements est variable suivant les localisations et leur gravité : les durées proposées varient de 14 à 28 jours. Voir les différentes manifestations cliniques. Le suivi clinique est de plusieurs semaines.
Symptoms Of Early Stage Lyme Disease
According to the Centers for Disease Control and Prevention , early-stage Lyme disease symptoms crop up within 3 to 30 days after exposure and can include but are not limited to:
- Joint pain and swelling
- Swelling of the lymph nodes
- Erythema migrans , a bulls-eye-shaped rash that appears at the site of the tick bite
Early Lyme disease does not always appear the same in all patients. For example, up to 30% of patients dont remember experiencing a bulls eye rash.
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Early Detection Is Key
Lyme disease is easiest to treat at the early or acute stage, within the first 30 days of exposure. This is why its so important to take precautions to prevent tick bites, both during and outside of tick season. Protect yourself when near potential tick habitats, always perform tick checks after outdoor activity , and dont delay seeking medical attention if you notice any symptoms that might be related to tick-borne illness. Its important to get tested as soon as possible for the best chances of recovery.
Early Disseminated Lyme Disease
Disseminated Lyme disease symptoms arise as the bacterial infection works its way to other bodily systems, organs, and structures. Typically a month or more after exposure, symptoms have changed and may include:
- Neck stiffness and headache
- Rashes on parts of the body other than the original
- Pain and severe swelling in the joints
- Facial palsy, a drooping and/or paralysis of parts of the face
- Inflammation and swelling of the brain and spine
- Heart arrhythmia, palpitations, or inflammation
- Pain, tingling, and numbness in hands and feet
- Periods of dizziness and shortness of breath
- Vision problems , in rare cases
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How Is Lyme Disease Diagnosed
Lyme disease is difficult to diagnose because symptoms are not consistent and may mimic other conditions. The primary symptom is a rash, but it may not be present in up to 20% of cases.
Diagnosis for Lyme disease must be made by a healthcare provider experienced in recognizing Lyme disease. Diagnosis is usually based on symptoms and a history of a tick bite. Testing is generally done to confirm the diagnosis and rule out other conditions. This may need blood and other lab tests.
Research is underway to develop and improve methods for diagnosing Lyme disease.
The symptoms of Lyme disease may look like other medical conditions or problems. Always talk with your healthcare provider for a diagnosis.
Symptoms Of Lyme Disease
Lyme disease causes a range of symptoms that change and intensify as the Borrelia burgdorferi bacteria spreads to the rest of the body. Untreated cases can cause serious problems or lead to a fatal condition. Whats tricky, too, is that the onset of initial symptoms occurs anywhere from three to 30 days after exposure.
Clinically, there are three stages of Lyme disease: early localized disease, early disseminated disease, and late disseminated disease.
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Chronic Lyme Disease Vs Acute And Late Stage Lyme
One reason chronic Lyme disease is harder to detect and treat than Lyme at earlier stages is that chronic Lyme disease symptoms are more wide-ranging and varied. Chronic Lyme disease can cause symptoms of early Lyme disease such as fatigue and muscle aches to recur, but it can also cause new symptoms that affect different parts of the body.
What Are The Complications Of Lyme Disease
Lyme disease affects people differently. Relapse and incomplete treatment responses happen. Relapse and incomplete treatment responses happen. Complications of untreated early-stage disease include:
Frequent hospitalizations to manage the disease
Some of these complications result in chronic, debilitating conditions.
Some people may develop post-Lyme disease syndrome . A condition also known as chronic Lyme disease includes PLDS, but also other syndromes. Usually, these are characterized by persistent musculoskeletal and peripheral nerve pain, fatigue, and memory impairment.
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Does Lyme Feed On Sugar
The Lyme diet supports the immune system. This generally means eating fruits, vegetables, and high quality proteins to give you the raw materials your body needs. It means avoiding sugar, which suppresses the immune system, and other substances your body may react to. The Lyme diet promotes healthy digestive function.
The Chance Of Getting Lyme Disease
Not all ticks in England carry the bacteria that causes Lyme disease.
But it’s still important to be aware of ticks and to safely remove them as soon as possible, just in case.
Ticks that may cause Lyme disease are found all over the UK, but high-risk places include grassy and wooded areas in southern and northern England and the Scottish Highlands.
SINCLAIR STAMMERS/SCIENCE PHOTO LIBRARY https://www.sciencephoto.com/media/263611/view
Ticks are tiny spider-like creatures that live in woods, areas with long grass, and sometimes in urban parks and gardens. They’re found all over the UK.
Ticks do not jump or fly. They attach to the skin of animals or humans that brush past them.
Once a tick bites into the skin, it feeds on blood for a few days before dropping off.
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What Are The Symptoms Of Lyme Disease In Dogs
Lyme disease is often more challenging to identify in dogs than in humans, primarily due to the lack of a rash. While humans typically develop a characteristic âbullseyeâ rash around the location of the tick bite causing the infection, dogs donât develop this rash. Instead, behavioral cues are used to identify canine Lyme disease.
Those symptoms include:
- Loss of appetite and/or weight loss
- Lameness in one or more parts of the body
- Stiffness or pain in one or more parts of the body
- Overall loss of energy
While tick bites are the cause of Lyme disease, the development of symptoms takes place much later than the initial bite. Your dog may not show symptoms of Lyme disease until two to five months after being infected. The signs of Lyme disease in dogs can also bear similarities to the symptoms of other health conditions. For this reason, itâs crucial that dog owners seek out a veterinary diagnosis if they suspect their pet has canine Lyme disease.
When Should I See My Healthcare Provider
If you feel sick after having spent time in areas where ticks might live, you should make an appointment with your healthcare provider.
If you received a Lyme disease diagnosis and you dont feel well after taking all of your antibiotics, contact your provider. This is especially true if you have symptoms like a stiff neck or mental confusion.
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What Should I Do If I Find A Tick On My Child
Don’t panic. First Lyme disease is spread by the black-legged tick, not by the larger and more-common dog tick. The risk of developing Lyme disease after a black-legged tick bite is low, especially if the tick has been attached for a short time.
If you find a tick on your child, remove it using a fine-tipped pair of tweezers. Grasp the body of the tick and pull in an upward motion until the tick comes out. Do not squeeze or twist the ticks body. Take note of the ticks size and color, and how long you think it has been attached to your child.
If your child has been bitten by a black-legged tick that has been attached for more than 24 hours and you are in a Lyme disease endemic area, consult with your pediatrician. In some cases, your child may be prescribed antibiotics to prevent Lyme disease from developing.
What Should You Do If You Find A Tick
Dont touch the tick with your bare hand.
Use a pair of tweezers to remove the tick. Grab the tick firmly by its mouth or head as close to your skin as possible.
Pull up slowly and steadily without twisting until it lets go. Dont squeeze the tick, and dont use petroleum jelly, solvents, knives, or a lit match to kill the tick.
Save the tick. Place it in a plastic container or bag so it can be tested for disease, if needed.
Wash the bite area well with soap and water and put an antiseptic lotion or cream on the site.
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When To See A Healthcare Provider
Since Lyme disease can take different forms, and since its often confused with other conditions, its important to be proactive if you suspect the condition. What signs prompt medical help? Call the healthcare provider if:
- You have a bullseye rashor any kind of rashfollowing a tick bite.
- You experience flu-like symptoms after a tick bite.
- You experience symptoms of more advanced Lyme disease: arthritis, heart palpitations, facial paralysis, dizziness, and others.