The first symptom of Lyme disease in most people is an expanding red skin rash (called erythema migrans or an EM rash). In about a third of people, the rash looks like a bull's-eye, with a pale center area surrounded by a bright red rim. The rash is often accompanied by flu-like symptoms, including:
Fatigue (the most common symptom).
Headache and stiff neck.
Fever (which may be high in children, but this is rare).
Muscle and joint pain.
About 20% of people have viruslike symptoms only (no rash) or have no symptoms at all.
If Lyme disease is not detected and treated while early symptoms are present, or if a person never has early symptoms that trigger the need for treatment, the infection may spread to the heart, the joints, the brain and spinal cord (nervous system), or sites on the skin.
Heart and nervous system problems may develop weeks to months after the initial infection, including:
Pain, weakness, or numbness in the arms or legs.
A gradual inability to control the muscles of one side of the face (paralysis of the facial nerves).
Irregular heartbeat and shortness of breath.
Severe headache and stiffness in the neck.
Damage to the joints, nerves, and brain may develop months to years after a person becomes infected, causing:
Swelling, pain, or redness in the joints.
Poor memory and reduced ability to concentrate.
Numbness and tingling in the hands, feet, or back.
ByHealthwise Staff Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine Adam Husney, MD - Family Medicine Specialist Medical ReviewerChristine Hahn, MD - Infectious Disease, Epidemiology W. David Colby IV, MSc, MD, FRCPC - Infectious Disease
Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities that insure or administer group HMO, dental HMO, and other products or services in your state). Group Universal Life (GUL) insurance plans are insured by CGLIC. Life (other than GUL), accident, critical illness, hospital indemnity, and disability plans are insured or administered by Life Insurance Company of North America, except in NY, where insured plans are offered by Cigna Life Insurance Company of New York (New York, NY). All insurance policies and group benefit plans contain exclusions and limitations. For availability, costs and complete details of coverage, contact a licensed agent or Cigna sales representative. This website is not intended for residents of New Mexico.
Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Cigna may not control the content or links of non-Cigna websites. Details