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Has Your Lyme Disease Gone Undiagnosed?

Deer Tick

By learning more about Lyme disease, individuals can get a better understanding of how it is caused, treated, and how this type of tick-borne illness can be prevented.

Lyme Disease is?

Lyme disease is caused by bacteria transmitted to humans through the bite of an infected deer tick. Deer ticks are commonly found on grasses and shrubs near wooded areas. Young deer ticks usually feed in the late spring and early summer and that’s when people usually acquire Lyme disease.

Some of the symptoms of early Lyme disease can mimic other illnesses. For example, symptoms may include fever, aches in the muscles and joints, and a headache as if you have the flu. If you don’t notice a rash and your symptoms are relatively mild, or if your rash is very faint and hidden (i.e., on the back of the neck or under your arm), you may think this is a viral illness and ignore it.

Diagnosing Lyme Disease

Later symptoms of Lyme disease include migrating joint pain, meningitis, nerve pain in an arm or leg, or arthritis affecting a large joint such as the knee. Symptoms can vary from person to person and patients who are not treated early can have more severe manifestations. Although many patients with Lyme disease complain of fatigue, we don’t usually diagnose Lyme disease in patients with fatigue alone. Blood testing requires a bit of experience to interpret and unfortunately some people are told that they have Lyme disease who really don’t.

Preventing Lyme Disease

When a tick attaches to you, remove it immediately. If the tick is not engorged with blood, the likelihood of transmission is close to zero; the tick has to be attached for at least 36 to 48 hours before it can transmit Lyme. This is because the Lyme bacteria have to go from the gut of the tick to the tick’s salivary glands before it can be passed to the person the tick is biting, and that takes some time.

To prevent bites:

  • Be careful in areas where mice and deer like to congregate, such as the edge of the woods next to a lawn or meadow. Try to clear these areas of debris, logs and branches.
  • Wear long clothing and use bug spray
  • Take a hot shower at the end of the day to wash ticks off.
  • Perform a body check in the evening especially in late spring and early summer

Getting Well with Lyme Disease

  • Lyme disease almost always resolves when appropriate antibiotics are given.
  • Listen to your body! Rest when feeling fatigued, exercise to increase your energy level, and continue to eat a balanced diet. These activities will not necessarily shorten your recovery time but will help you feel better during treatment.
  • It can sometimes take weeks or even months for symptoms to completely resolve after completion of antibiotics.
  • If you experience additional symptoms after being prescribed antibiotics, speak to your physician so that they can properly monitor your condition
  • Lyme disease is an infection, and you should get better if treated properly.

Reviewed on April 26, 2018. 

Dr. Anne R. Bass specializes in the treatment of rheumatoid arthritis, Lyme disease, vasculitis, systemic lupus erythematosus and inflammatory eye disease. She is the director of the HSS rheumatology fellowship program and an Associate Professor of Clinical Medicine.



The information provided in this blog by HSS and our affiliated physicians is for general informational and educational purposes, and should not be considered medical advice for any individual problem you may have. This information is not a substitute for the professional judgment of a qualified health care provider who is familiar with the unique facts about your condition and medical history. You should always consult your health care provider prior to starting any new treatment, or terminating or changing any ongoing treatment. Every post on this blog is the opinion of the author and may not reflect the official position of HSS. Please contact us if we can be helpful in answering any questions or to arrange for a visit or consult.