What Is Lyme Disease?
Lyme disease is an infection caused by the bacterium Borrelia
burgdorferi. This bacterium is usually found in animals like mice and deer.
It can be carried to people from these animals by Ixodesticks
(known as black-legged or deer ticks). These ticks pick upBorrelia
burgdorferi when they bite infected animals and then infect humans by
biting them and passing the bacteria into the person's bloodstream.
Sound gross? Maybe. But you can be sure that you
won't witness this process: It's very hard to see the ticks themselves.
Immature ticks, or nymphs, are about the size of a poppy seed. Adult ticks are
about the size of a sesame seed.
Because the ticks are hard to find, it helps to
be aware of the symptoms of Lyme disease. It's easy to overlook a tick bite.
Many people who get Lyme disease don't remember being bitten. The good news is
that most tick bites don't result in Lyme disease.
What Are the Signs and Symptoms and When Do They Appear?
Lyme disease can affect different body systems,
such as the nervous system, joints, skin, and heart. The symptoms of Lyme
disease are often described as happening in three stages. Not everyone
experiences all of these stages, though:
1. Often, the first sign of infection is a circular
rash. This rash appears within 1-2 weeks of infection but may develop up to 30
days after the tick bite. The rash often has a characteristic
"bull's-eye" appearance, with a central red spot surrounded by clear
skin that is ringed by an expanding red rash. It may also appear as an
expanding ring of solid redness. It may be warm to the touch and is usually not
painful or itchy. The bull's-eye rash may be more difficult to see on people
with darker skin tones, where it may take on a bruise-like appearance.
The rash usually resolves in about a month. Although this rash is considered typical of Lyme disease, many people never develop it.
The rash usually resolves in about a month. Although this rash is considered typical of Lyme disease, many people never develop it.
2. Along with the rash, a person may experience
flu-like symptoms such as swollen lymph nodes, fatigue, headache, and muscle
aches. Left untreated, symptoms of the initial illness may go away on their
own. But in some people, the infection can spread to other parts of the body.
Symptoms of this stage of Lyme disease usually appear within several weeks
after the tick bite, even in someone who has not developed the initial rash.
The person may feel very tired and unwell, or may have more areas of rash that
aren't at the site of the bite.
Lyme disease can affect the heart, leading to an irregular heart rhythm or chest pain. It can spread to the nervous system, causing facial paralysis (Bell's palsy) or tingling and numbness in the arms and legs. It can start to cause headaches and neck stiffness, which may be a sign of meningitis. Swelling and pain in the large joints can also occur.
Lyme disease can affect the heart, leading to an irregular heart rhythm or chest pain. It can spread to the nervous system, causing facial paralysis (Bell's palsy) or tingling and numbness in the arms and legs. It can start to cause headaches and neck stiffness, which may be a sign of meningitis. Swelling and pain in the large joints can also occur.
3. The last stage of Lyme disease can occur if the
early stages of the disease were not detected or appropriately treated.
Symptoms of late Lyme disease can appear any time from weeks to years after an
infectious tick bite. They may include arthritis, particularly in the knees,
and memory lapses (this last symptom happens mainly to adults and is rare in
kids and teens).
Having such a wide range of symptoms can make
Lyme disease difficult for doctors to diagnose. Fortunately, there's a blood
test that looks for evidence of the body's reaction to Lyme disease.