Most people associate the typical appearance of the “bulls-eye” with an infection of the Lyme disease. But there are other variations of skin appearance that everyone should be aware of. Typically in 66% of cases rashes appear within 7-21 days after the tick bite.
- joint pain,
- muscle pain,
- decreased short-term memory or ability to concentrate.
- speech problems
TREATMENT OF LYME DISEASE
Oral (Doxycycline (Patients ≥8 y)Amoxicillin Cefuroxime Paxetil) and intravenous (CeftriaxoneCefotaximePenicillin G) treatments are available and if diagnosed correctly, most people will make a full recovery.
The most common reason for failure of treatment is misdiagnosis: the patient did not have Lyme disease or the disease was not diagnosed at all. Treatment is generally safe and highly effective.
COMPLICATIONS FROM THE DISEASE OR TREATMENT
Complications are extremely rare in children; however complete heart block can cause fainting (syncope) and sudden death. There have been extremely rare reports of serious inflammation of the optic nerve (ON- optic neuritis) or blindness that resulted from persistent increased intracranial pressure that was not managed adequately.
Arthritis is far and away the most common manifestation of late Lyme disease, affecting up to 30% of children whose early-stage disease went untreated.
CHRONIC LYME DISEASE
If Lyme disease is not diagnosed and treated early, the bacteria (spirochetes) can spread and may go into hiding in different parts of the body. Weeks, months or even years later, patients may develop problems with the brain and nervous system, muscles and joints, heart and circulation, digestion, reproductive system, and skin. Symptoms may disappear even without treatment and different symptoms may appear at different times.
Untreated or undertreated Lyme can cause some people to develop severe symptoms that are hard to resolve. This condition may be referred to as post-treatment Lyme disease (PTLD) or chronic Lyme disease (CLD). It is unknown exactly how many people who are diagnosed and treated remain ill. CDC estimates range from 10-20%. A recent study of early Lyme disease treated at EM rash reported 36% remain ill. (Aucott 2013)