Flu-like symptoms, with or without the rash. The symptoms include:
Lack of energy.
Headache and stiff neck.
Fever and chills.
Muscle and joint pain.
Swollen lymph nodes.
In some cases of Lyme disease, the person doesn't notice any symptoms during this stage.
Stage 2: Early disseminated infection (1 to 4 months)
If Lyme disease isn't found and treated while early symptoms are present, or if you don't have early symptoms that trigger the need for treatment, the infection may affect the skin, joints, nervous system, and heart within weeks to months after the initial infection.
Symptoms may include:
An expanding, circular rash at the site of
the bite. More rashes may appear on other parts of your body as the
Pain, weakness, or numbness in the arms or legs.
Not being able to use the muscles of the face.
Headaches or fainting that continues to happen.
Poor memory and reduced ability to concentrate.
Conjunctivitis (pinkeye) or sometimes damage to deep tissue in the eyes.
episodes of pain, redness, and swelling in one or more large joints—most often
the knee. Joint problems are common.
If Lyme disease isn't promptly or effectively treated, damage to the joints, nerves, and brain may develop months or years after you become infected. It is the
last and often the most serious stage of the disease.
Symptoms at this stage may include:
Arthritis that most often affects the knee. A small
number of people eventually get
chronic Lyme arthritis, which causes recurring episodes of swelling, redness, and fluid buildup in one or more joints that last up to 6 months at a time.
Numbness and tingling in the hands, feet, or back.
Feeling very tired.
Not being able to control the muscles of the face.
Problems with memory, mood, or sleep, and sometimes problems speaking.
Heart problems, which are rare but can occur months to even years
after you are bitten by an infected tick. The most serious heart problems—such as
inflammation of the structures surrounding the heart (
pericarditis)—usually resolve without any lifelong
damage. Unfortunately, heart problems can be the first sign of Lyme disease in
a small number of people who didn't have early symptoms.
Stage 2 and stage 3 symptoms may be the first signs of Lyme disease in people who didn't have a rash or other symptoms of early infection.
ByHealthwise Staff Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine Specialist Medical ReviewerChristine Hahn, MD - Epidemiology W. David Colby IV, MSc, MD, FRCPC - Infectious Disease
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