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What is the Symptom Timeline of Lyme Disease?

July 22, 2024

The symptom timeline of Lyme disease– a tick-borne illness caused by the bacterium Borrelia burgdorferi– is complex and variable. Initially, individuals may experience early localized symptoms, typically within 3 to 30 days post-tick bite. If untreated, the disease can progress to early disseminated Lyme disease within weeks to months. Understanding the progression and recognizing the sign of each stage is crucial for timely diagnosis and effective treatment.

For same-day tick bite and Lyme disease treatment, visit the walk-in clinic at AFC Urgent Care West Orange. We see patients for tick removal and detection of tick-borne illnesses on a walk-in basis. No appointment is required!

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Stage 1: Early Localized Disease

Stage 1, known as early localized Lyme disease, occurs within 3 to 30 days following a tick bite. This initial phase is characterized by localized symptoms that often include a distinctive rash known as erythema migrans (EM). The EM rash typically begins at the site of the tick bite and gradually expands, usually forming a bull's-eye pattern with a clear center.

Accompanying the rash, individuals may experience flu-like symptoms such as:

  • Fever
  • Chills
  • Headache
  • Fatigue
  • Muscle and joint aches
  • Swollen lymph nodes

Stage 2: Early Disseminated Lyme       

Early disseminated Lyme typically develops weeks to months after the initial tick bite if the infection is not adequately treated in Stage 1. During this phase, the Borrelia burgdorferi bacteria begin to spread throughout the body, leading to more diverse and systemic symptoms. Common manifestations include multiple erythema migrans rashes at different body sites, indicating the bacteria's migration.

Neurological symptoms may arise, such as:

  • Facial palsy (Bell's palsy)
  • Meningitis-like symptoms (severe headaches and neck stiffness)
  • Radiculoneuropathy (sharp, shooting pains or numbness).
  • Additionally, some patients experience cardiac issues, including Lyme carditis, which can cause irregular heartbeats or heart block. 

Stage 3: Late Disseminated Lyme

Late disseminated Lyme disease can occur months to years after the initial tick bite if the infection remains untreated or inadequately treated. This advanced stage is characterized by severe and chronic symptoms affecting various parts of the body.

Some of the manifestations include:

  • Lyme arthritis typically involves severe joint pain and swelling, especially in the knees.
  • Neurological complications, such as encephalopathy and cognitive difficulties (often referred to as "brain fog"). 
  • Peripheral neuropathy (numbness and tingling in the hands and feet) is also prevalent. Additionally, patients may experience profound fatigue, sleep disturbances, and mood changes, including depression and anxiety. 

The persistence of these symptoms can significantly impact quality of life, highlighting the critical need for early detection and comprehensive treatment of Lyme disease to prevent long-term health consequences.

Get Tick Bite & Lyme Treatment at AFC Urgent Care West Orange

If you suspect you have been bitten by a tick and exhibit symptoms such as a bull's-eye rash, flu-like illness, joint pain, or neurological issues, seek medical attention promptly. Visiting an urgent care center can ensure a timely diagnosis and appropriate antibiotic treatment, which is vital to prevent the disease from progressing to more severe stages. Early intervention can also significantly reduce the risk of long-term complications. At AFC Urgent Care West Orange, we are available to test and treat patients for tick-borne illnesses, as well as remove ticks that have latched onto the skin. You can visit us any day during the week, including our convenient evening and weekend hours. For more information about tick removals or treatment for tick-borne illnesses, please call to speak with one of our medical professionals at (973) 669-5900.

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