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Lyme Disease

WHAT YOU SHOULD KNOW

Lyme disease is an infection spread by ticks. It starts as a small bump from the bite and may turn into a rash after a few days or weeks. If not treated early, it may spread to other parts of the body.

Causes

A recently discovered germ named Borrelia burgdorferi is the cause. It is spread only by tick bites, and cannot be passed from one person to another. The ticks that spread Lyme disease usually live on deer, rabbits, and mice, but also can be found on dogs. Infections are most frequent in the late spring and summer. You can get sick anywhere from 3 days to a month after being bitten. Some people don't remember the bite.

Signs/Symptoms

Soon after an infected bite, a small red bump appears and then grows bigger, usually with a clear area in the middle that looks like a bull's-eye. You may develop other symptoms that seem like the flu, including muscle pain, headache, stiff neck, fever, chills, and tiredness. Weeks, months, or even years later, you may develop joint pain and eye, heart, or nerve problems.

Care

The doctor may need to order blood tests to make sure you have the disease. Antibiotics are prescribed to cure the infection. Medicine for pain, irritation, and swelling may be given, if needed. Early treatment is important. The sooner you are treated, the better your chances of full recovery.

WHAT YOU SHOULD DO

  • Take antibiotics exactly as directed until they are all gone. Don't stop taking them when you begin to feel better. Some of the germs may still be alive.
  • Rest in bed until you feel well. You may then go back to work or school.
  • To avoid tick bites:
    • During tick season, stay out of woods and fields likely to have ticks, if possible.
    • In the woods, wear long pants, socks pulled up over the bottom of your pants legs, and shirts with long sleeves. Keep your shirt tucked in. Use a lotion or spray to keep bugs and ticks away.
    • Check for ticks every 2 to 3 hours while you are out and again after you go inside. Be sure to check your head, neck, armpits, and crotch. Also check your pets for ticks and have them wear tick collars.
    • If you find a tick, take it off with a pair of tweezers. Don't use your fingers. Hold the tick behind the head and slowly pull it out. Ticks that are taken off within 18 hours are not likely to cause Lyme disease.

Call Your Doctor If...

  • You get any new symptoms.
  • You have a rash, itching, or swelling after taking your medicine.

Seek Care Immediately If...

  • You get a stiff neck, really bad headache, shortness of breath, or a fast heart beat.

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